tci Part B Insider - 2013 Issue 24

Part B Coding Coach: Master Spleen Codes With This Splenomegaly Case

This ‘separate procedure’ doesn’t always stand alone. When your surgeon removes or repairs a spleen with or without other surgical procedures, do you know how to choose the right codes? Read on to make sure you don’t leave money on the table by missing additional services — or over charge for services by billing for bundled spleen. Study Case and Codes CPT® provides six codes for spleen procedures: 38100 — Splenectomy; total (separate procedure) 38101 — … partial (separate procedure) 38102 — … total, en bloc for extensive disease, in conjunction with other procedure (List in...

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