tci General Surgery Coding Alert - 2005 Issue 3

Reader Questions: Open Cholecystectomy With Cholangiogram? Here's How

Question: Which code(s) should I use to report cholecystectomy with cholangiogram and exploration of common bile duct?Texas Subscriber Answer: For an open procedure, you should report 47610 (Cholecystectomy with exploration of common duct). If the surgeon performed the cholecystectomy and exploration endoscopically, you should instead report 47564 (Laparoscopy, surgical; cholecystectomy with exploration of common duct). You should report a single code for this procedure, even if the surgeon began the procedure endoscopically and had to convert to an open procedure. CPT rules dictate that you should report the open procedure only.  If the surgeon converts a...

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