AAPC - August DL Sale: 50% OFF
Page 1 of 2 12 LastLast
Results 1 to 10 of 15

Thread: Laparoscopic liver biopsy - Anyone have any idea

  1. #1
    Join Date
    Apr 2007
    Location
    Quincy, MA
    Posts
    62

    Question Laparoscopic liver biopsy - Anyone have any idea

    AAPC: CPC Promo
    Anyone have any idea on how to code a laparoscopic liver biopsy (0.5cm liver lesion excised) done during lap colectomy?
    Leanne, CPC
    General/Vascular Surgery

  2. #2
    Join Date
    Apr 2007
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338

    Default

    see if 47001 will work for you

  3. #3
    Join Date
    Apr 2007
    Location
    Quincy, MA
    Posts
    62

    Default

    Thanks. I looked at that one but Coder's Desk Reference says to report 47001 when liver biopsy is performed during an open procedure. Since it was done during a laparoscopic colectomy I didn't think it would apply.
    Leanne, CPC
    General/Vascular Surgery

  4. #4
    Join Date
    Apr 2007
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338

    Default

    since the 47001 is an add on procedure, I did double check the "primary procedure list" and lap colectomies are listed. So in short, yes the 47001 could be used with it.

    please see below:

    Primary Px - 47001
    This list shows the primary procedure codes(s) appropriate for use with this add-on code.

    44146 Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy
    44147 Colectomy, partial; abdominal and transanal approach
    44150 Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy
    44151 Colectomy, total, abdominal, without proctectomy; with continent ileostomy
    44155 Colectomy, total, abdominal, with proctectomy; with ileostomy
    44156 Colectomy, total, abdominal, with proctectomy; with continent ileostomy
    44160 Colectomy, partial, with removal of terminal ileum with ileocolostomy
    44204 Laparoscopy, surgical; colectomy, partial, with anastomosis
    44205 Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy
    44206 Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)
    44207 Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)
    44208 Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy
    44210 Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy
    44211 Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed
    44212 Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy
    44300 Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)
    44310 Ileostomy or jejunostomy, non-tube

    (That is only a partial list as its way too long to put here)
    Last edited by mbort; 07-11-2008 at 01:07 PM. Reason: added documentation

  5. #5

    Default

    You'd need to use unlisted procedure 47379.

    ~L
    CPC, CGSC, COSC

  6. #6
    Join Date
    Apr 2007
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338

    Default

    I would not recommend using an unlisted code unless the 47001 does not meet the documentation guidelines of the biopsy.

  7. #7
    Join Date
    Apr 2007
    Location
    Pittsburgh Central
    Posts
    74

    Default

    I just read an article in the General Surgery Coding Alert that says to use 49321 (2008, Vol 10, No 4, page 30). It says "Although this code does not specify "liver," it falls under the general "laparoscopy" portion of CPT and clearly describes the procedure your surgeon performed. As CPT guidelines specify, you can (and should) save yourself the hassles of reporting an unlisted-procedure code unless "no specific code exists" to describe the procedure you wish to report."

  8. #8

    Talking

    47379 is the code we always use for lap liver wedge biopsies. Just remember to let them know what you are using this code for and send notes.

  9. #9

    Default

    I believe procedure code 47001 to be an open procedure.

    ~L
    CPC, CGSC, COSC

  10. #10
    Join Date
    Apr 2007
    Location
    Daytona Beach
    Posts
    15

    Default

    Quote Originally Posted by Robin M View Post
    I just read an article in the General Surgery Coding Alert that says to use 49321 (2008, Vol 10, No 4, page 30). It says "Although this code does not specify "liver," it falls under the general "laparoscopy" portion of CPT and clearly describes the procedure your surgeon performed. As CPT guidelines specify, you can (and should) save yourself the hassles of reporting an unlisted-procedure code unless "no specific code exists" to describe the procedure you wish to report."
    There was an update to this just issued in the August General Surgery Coding Alert (2008, Vol 10, No 11, page 86), that now recommends that the unlisted CPT 47379 be used for laparoscopic liver biopsies.
    Barbara McDougal, CPC
    FHMS HealthCare Partners, Ormond Beach, FL

Page 1 of 2 12 LastLast

Similar Threads

  1. Laparoscopic liver biopsy/lesion destruction
    By pkoens in forum General Surgery
    Replies: 2
    Last Post: 02-15-2013, 03:10 PM
  2. Laparoscopic Liver biopsy
    By drhoads in forum General Surgery
    Replies: 7
    Last Post: 01-30-2013, 10:44 AM
  3. Laparoscopic liver biopsy - I have been getting conflicting
    By aclements in forum General Surgery
    Replies: 0
    Last Post: 12-12-2012, 10:40 AM
  4. Laparoscopic Ultrasound of the Liver
    By hpierce in forum Hematology/Oncology
    Replies: 0
    Last Post: 08-09-2012, 08:42 AM
  5. laparoscopic liver biopsy
    By swiedner7 in forum General Surgery
    Replies: 1
    Last Post: 06-29-2010, 09:01 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.