tci General Surgery Coding Alert - 2002 Issue 4

Reader Question: Cholecystectomy and Hepatectomy

Question: To perform a liver resection, our surgeon performed a cholecystectomy. Can we bill separately for it? Or is it included in the hepatectomy (47120-47130)?Virginia Subscriber  Answer: Cholecystectomy (47600-47620) should not be billed separately. The introduction to Chapter 6 of Correct Coding Initiative version 8.0 states: "When, in the course of a hepatectomy, a cholecystectomy is necessary in order to successfully perform the hepatectomy, a separate procedure code is not coded for the cholecystectomy; component procedures necessary to perform a more comprehensive procedure are included in the code describing the more comprehensive service." If...

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