tci General Surgery Coding Alert - 2002 Issue 9

Reader Question: Liver Biopsy

Question: On several occasions while performing a laparoscopic cholecystectomy (47562) our surgeons have done a liver biopsy (47001), which is an add-on code, with diagnosis codes for the biopsy such as cirrhosis, abnormal liver function tests, etc. Our local Medicare rejects these billings, stating that 47001 can't be billed independently of 47000. Is this correct? Can 47001 be reported with 47562? Montana SubscriberAnswer: No, the payer is not correct to require 47000* (Biopsy of liver, needle; percutaneous) with +47001 (... when done for indicated purpose at time of other major procedure [list separately in addition to code for primary...

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