tci General Surgery Coding Alert - 2002 Issue 4

Reader Question: Wedge Biopsy of Liver

Question: An exploratory laparotomy and wedge biopsy of the liver were performed. The mass was excised, sent to pathology and returned positive. How should this be coded?Florida Subscriber  Answer: The correct code for a wedge biopsy of the liver is 47100. Unlike other liver biopsies, it is considered an excision because the surgeon takes a wedge of liver and then sutures the excised edges to prevent bleeding. It may be difficult to obtain payment for the wedge biopsy if it is performed during the same session as another abdominal procedure. Carriers may bundle the two, even...

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