• 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..

Lap Chole w IOC

M

mgord

Guru
Messages
105
Location
Lewisburg, TN
Is anyone out there billing 74300 when a lap chole is performed w IOC? They are documenting radiographic findings and I dont see any CCI edits that prevent me from billing this way.

Thanks!!
 
Year: 2000

Issue: December

Pages: 14

Title: Digestive System, Surgery, 47563, 74300, 76000 (Q&A)

Body: Coding Consultation

Question

A surgeon performs an outpatient laparoscopic cholecystectomy with an intraoperative cholangiogram, with fluoroscopy. Would I assign the following codes: 47563, 76000, 74300 ? Please Advice.

AMA Comment

It would be appropriate to report codes 47563 (assigned by the surgeon), 74300-26 (assigned by the radiologist), codes 47563 and 74300 (assigned by the hospital to capture the facility charges). It would not be appropriate to assign code 76000 as fluoroscopy is included in code 74300.


© 2005 American Medical Association
 
IOC billing

Hi,

My surgeon bills for the IOC because he interprets the study himself. As long as the radiologist is not billing for it, you can use 74300-26. However, we are no longer being reimbursed by either Medicare or Commercial insurance as of 1/2009 for Medicare, longer for Commercial insurances. Explanation was that the surgeon is not "credentialed" as a radiologist and should not be performing this interpretation.
 
You must log in or register to reply here.
Top