Category: CC-General Surgery

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...

Billing Telehealth Post Op Visits
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Billing Telehealth Post Op Visits

April 30, 2020 Question: I am trying to find a resource that addresses telehealth billing in the post-operative period.  Is it possible to bill a post-op follow-up telehealth video visit that is reimbursable in the post-operative/global period? Answer: If you are seeing the patient within the global period of a surgery performed by one of...

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