In Billing
May 27th, 2016
Occasionally, a surgeon will attempt to perform a procedure using an approach that fails, and must the complete the procedure using a different approach or technique. When this occurs, you should code only for the successful approach. The National Correct Coding Initiative (chapter 1, “General Correct Coding Policies for National Correct Coding Initiative Policy Manual ...
In Coding
Oct 15th, 2014
Robotic surgery is covered by routine and customary laparoscopic CPT® and ICD-9-CM coding practices, existing medical policies for advanced laparoscopic surgery, and current payer contract rates. The primary surgical procedure remains laparoscopic: You should not report unlisted procedure codes or modifier 22 Increased procedural services for robotic assistance (except perhaps, for instance, there ...
Nov 12th, 2010
A recent study may make proving medical necessity for robotic-assisted laparoscopic hysterectomy surgery more of a challenge. A retrospective review of 36,188 patient records from 358 hospitals found the robot-assisted hysterectomy procedure costs thousands of dollars more than traditional laparoscopic hysterectomy surgery with no significant improvement in clinical outcomes. Surgery time also was ...
In Coding
Oct 23rd, 2009
The Food and Drug Administration (FDA) approved the first fully-robotic surgery device, the da Vinci® surgical system, in early 2000. In recent years, robotic surgery—technically called laparoscopic robotic-assisted surgery—has revolutionized minimally invasive surgery (MIS). Robotic-assistance has been adopted by several surgical specialties for complex procedures, such as mitral valve repair, Rou...