tci General Surgery Coding Alert - 2020 Issue Q2

Reader Question: Don't Miss Common Duct Exploration

Question: The op note for a laparoscopic cholecystectomy documents visualizing the cystic and common bile duct for gallstones. How should we report this? Tennessee Subscriber Answer: The best code for the service you describe is 47564 (Laparoscopy, surgical; cholecystectomy with exploration of common duct). If the surgeon failed to note the additional work of exploring the common bile duct, you would be left to report 47562 (Laparoscopy, surgical; cholecystectomy). Value: Choosing the code that reflects the additional work is critical in this case. The Medicare Physician Fee Schedule national facility amount is $692.56 for 47562, but $1,172...

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