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CPT help?

  1. Default CPT help?
    Medical Coding Books
    Hello, Everyone!
    This is my first post on this forum, so I apologize if it doesn't make much sense.

    I am trying to find the CPT for "laparoscopy with wedge resection of liver". Am I incorrect in thinking that the only option is the unlisted laparoscopy code for the liver (47379)? And if that is correct, what is the best way to determine the charge amount?

    If the op report is needed, let me know.



  2. #2
    47120 (hepatectomy, resection of liver; partial lobectomy) might work, but since no approach is mentioned, I'm not completely sure.

    The charge amount is going to depend on the allowable with whomever you're billing. If it's Medicare or Medicaid, look online to find the correct code on the fee schedule, and charge slightly more than that. Other payers, you may have to call to find out whether or not it's on your fee schedule. Commercial tends to allow quite a bit more than Medicare on a lot of codes.

  3. #3
    North Carolina
    Welcome to the forum!

    Laparoscopic Liver Biopsy
    October 19, 2009


    The surgeon performed a laparoscopic wedge liver biopsy due to a suspicious lesion during a laparoscopic colectomy. The surgeon submitted CPT code 47100 biopsy of liver, wedge along with the laparoscopic colectomy code. I do not think this is the correct code.


    You are correct. There is no CPT code for a laparascopic biopsy of the liver, wedge, thus the correct way to report this is with an unlisted laparoscopic CPT code. Report 47379, Unlisted laparoscopic procedure, liver.

  4. Default
    There is no direct code for laparoscopy with wedge resection of liver.Need take the unlisted procedure -47379 only. you are correct.

    Nalini CPC

  5. Default
    FYI---Providers need to remember that without a special report (see CPT surgical guidelines) that payers will most likely always deny the claim with an unlisted code right away. Providers must drop to paper and send a special report along with the op notes to get unlisted procedures paid

  6. #6
    Milwaukee WI
    Default Fee
    We base the fee for any unlisted procedure on the closest existing CPT code ... in this case 47100.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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