Category: <span>CC-General Surgery</span>

Abdominal Fat Pad Core Biopsy
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Abdominal Fat Pad Core Biopsy

September 17, 2020 Question: We did an abdominal fat pad biopsy for primary cutaneous Amyloidosis. Would 49180 or 11104 be the appropriate code for this? Answer: 49180 is for a core sample within or behind the abdominal cavity. If the core biopsy is documented down to the subcutaneous fat pad only, this is coded as...

Coding a Hand Assisted Laparoscopy
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Coding a Hand Assisted Laparoscopy

September 3, 2020 Question: The surgeon described the procedure as a ‘hand assisted laparoscopy”  He brought part of the bowel outside of the body for evaluation.  Does this convert the procedure to open? Answer: Mobilizing the bowel outside the body (extracorporeally) during a laparoscopic procedure does not convert the procedure to open,  it is still...

Coding a Diverting Ileostomy with a Low Anterior Resection/Low Pelvic Anastomosis Partial Colectomy
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Coding a Diverting Ileostomy with a Low Anterior Resection/Low Pelvic Anastomosis Partial Colectomy

June 11, 2020 Question: Instead of a colostomy as described in the laparoscopic CPT codes 44208 or the open code, 44146, my doctor does a diverting ileostomy. We have been billing the primary codes 44145 or 44207 and adding the ileostomy code, 44187 if laparoscopic or 44310 if open. Is that correct? Answer: Partial colectomy...

Intraoperative ICG Dye Angiography
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Intraoperative ICG Dye Angiography

May 28, 2020 Question: Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion after a colectomy or other abdominal procedure?  Can we bill for the injection using 15860? Answer: No, this service is included in primary surgery and not separately reported. *This response is based on the best...

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