tci General Surgery Coding Alert - 2009 Issue 2

You Be the Coder: Multiple Procedures Plus a Conversion to Open

Question: My doctor did a laparoscopic cholecystectomy with intraoperative cholangiogram. He then converted to an open procedure to do a common bile duct exploration followed by a choledochoscopy. He also performs a T-tube cholangiogram, and placed an ON-Q pain catheter. Would I use CPT codes 47563, 47610, and 47550? What code should I use for the ON-Q pain catheter placement? Louisiana Subscriber Answer: You shouldn't report both 47563 (Lapar-oscopy, surgical; cholecystectomy with cholangiography) and 47610 (Cholecystectomy with exploration of common duct) because you-d be trying to get reimbursement twice for the cholecystectomy. Since the Correct Coding Initiative (CCI) bundles...

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