tci General Surgery Coding Alert - 2005 Issue 5

Yes, You Can Bill Multiple Thoracoscopies

Medicare requires you to bundle 'converted' scopes to open proceduresMost general surgery coders are familiar with coding guidelines that bundle diagnostic endoscopic procedures (such as thoracoscopy) to surgical scopes of the same type, but you can report multiple procedures if the diagnostic scope led to the decision to perform an open surgical procedure, or if the surgeon performs more than one surgical endoscopic procedure. To ensure you're coding everything that your surgeon deserves payment for, follow these four tips. 1. True 'Diagnostic' Scope = Separate Payment If the surgeon performs a diagnostic thoracoscopy (six codes, 32601-32606), and the...

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