AAPC - August DL Sale: 50% OFF
Results 1 to 4 of 4

Thread: Question about CPT code 49203

  1. #1
    Join Date
    Apr 2007
    Location
    Gainesville, GA
    Posts
    44

    Default Question about CPT code 49203

    AAPC: CPC Promo
    My provider does a Robotic Assisted Lap destruction of Endometrial Lesions that he says is very extensive and requires more work than the 58662. He wants to use the 49203. The code says its an OPEN destruction of Endometriomas.

    Does a Laparoscopy incision warrant as OPEN?

  2. #2

    Default 49203

    same exact question I was going to ask. There does not seem to be an extensive laparoscopic code for this.

  3. #3
    Join Date
    Apr 2007
    Posts
    10

    Default

    If the physician is doing the procedure Laproscopically, you cannot use an open code. The 49329 is the more appropriate code to use. When billing the code, override the standard description with what they actually did. You will also have to figure out what they will charge for this procedure. If 49203 is the closest to the code, I would take the cost of that and add 25% to the price. When you submit the claim, prepare yourself to be able to have the operative note ready to appeal along with a letter from the Doc stating why the procedure is more extensive. It won't be any easy fight, but that is the only way they will create new codes for the procedures.

  4. #4
    Join Date
    Apr 2007
    Location
    READING PA
    Posts
    197

    Default

    I would use a -22 modifier on the 58662 and send the op report & supporting documentation from the provider. 49329 is an unlisted code and the 58662 is closer to what he did.
    Anastasia, CPC, CASCC, COBGC

Similar Threads

  1. CPT Code Question
    By stadocs@hotmail.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-16-2013, 12:44 PM
  2. Question on CPT code 30110
    By kenedbrown in forum Compliance General Discussion
    Replies: 3
    Last Post: 11-02-2011, 05:47 PM
  3. Question on cpt code 92551
    By LINDAACOSTA in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-21-2011, 03:11 PM
  4. cpt code question
    By bench in forum Outpatient Facilities
    Replies: 0
    Last Post: 06-25-2008, 05:33 PM
  5. question regarding cpt code 93224
    By davisdenyse in forum Cardiology
    Replies: 2
    Last Post: 09-02-2007, 02:07 PM

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.