tci General Surgery Coding Alert - 2004 Issue 10

Want to Make the Most of Your Lap Chole Claims? 4 Steps Show You How

Read the operative note carefully and apply modifier -22 when justified If you're not reading the surgeon's operative notes for laparoscopic cholecystectomy (lap chole) carefully, you could be missing billable services such as cholangiography or lysis of adhesions and leaving dollars on the table. At the same time, you must avoid overcoding laparoscopic-to-open conversions by claiming only the successful procedure. Step 1: Determine EVERYTHING the Surgeon Did  When coding for lap chole (laparoscopic removal of the gallbladder), you should  carefully read the body of the operative report (not just the summary) to be sure that you are reporting...

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