• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki dx lap

Create Wiki
C

cynthiabrown

Guest
Messages
505
Best answers
0
if dr does a diagnostic laparoscopy and then ultimately opens the parient for reduction of internal hernia, can we bill dx lap and if so, is a mod required
 
You can bill for it if it's truly is a DX Laparoscopy. However, if it's to explore to see if Laps procedure will be possible, Rollin is correct.

NCCI Policy Manual Chapter 1:

12. If a diagnostic endoscopy is the basis for and precedes an open procedure, the diagnostic endoscopy is separately reportable with modifier 58. However, the medical record must document the medical reasonableness and necessity for the diagnostic endoscopy. A scout endoscopy to assess anatomic landmarks and extent of disease is not separately reportable with an open procedure. When an endoscopic procedure fails and is converted to another surgical procedure, only the completed surgical procedure may be reported. The endoscopic procedure is not separately reportable with the completed surgical procedure.
 
You must log in or register to reply here.
Top