Coding for ICG Imaging

General Surgery
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Question:

Can you give guidance on CPT 15860 as it pertains to colorectal surgery?

My surgeons have been using this code when they use the isocyanine green fluorescence imaging either with the robot (Firefly) or open (SpyPhi).  They are saying this code is relevant because they are assessing vascular flow in a graft (it’s technically a graft of autologous tissue to replace the removed bowel).

Answer:

The infusion of ICG dye as imaging to assess perfusion is inherent to the procedure and not separately reported.

*This response is based on the best information available as of 12/19/19.

 
 
KZA - General Surgery - Coding Coach
 
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