Nicole Posted Thu 17th of October, 2019 14:08:58 PM
Hi, my provider did a Exploratory Laparoscopy, and washed out the abdominal cavity which was contaminated with bilious material. He then found a bile leak from the duct of Luschka, which was controlled by placing clips, and then a JP Drain was placed. The only CPT code that I could find would be a 47579 (Unlisted laparoscopy procedure, biliary tract). If this is the correct CPT code to use, what could I compare this to for pricing? Any information would be greatly appreciated. Thank you.
SuperCoder Answered Fri 18th of October, 2019 04:59:45 AM
CPT does not include a code to describe exploratory laparoscopy with control of bile leak. So, 47579 (Unlisted laparoscopy procedure, biliary tract) will be the appropriate code.
There is no other comparison code for above mentioned procedure done by the physician. So, for pricing you will require a special letter of explanation to describe the service. Payment for such claims, however, is not automatic. Your surgeon must make a careful effort to document the procedure, and the information you include with your claim can make all the difference.
Hope this helps!