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LAB CHOLE WITH IOC AND ERCP AND REMOVAL OF INTRA-ABDOMINAL ADHESIONS

Rebecca Posted Tue 07th of July, 2020 10:45:37 AM
LAB CHOLE WITH IOC AND ERCP AND EXPLORATION OF THE COMMON BILE DUCT AND REMOVAL OF INTR ABDOMINAL ADHESIONS-MY PHYSICIAN DID THE LAP CHOLE AND THE IOC..SHE HELPED THE GI DOCTOR WITH THE ERCP AND THE EXPLORATION OF THE COMMON BILE DUCT. MY PHYSICIAN REMOVED THE INTRA -ABDOMINAL ADHESIONS THIS CASE TOOK EXTRA TIME (BECAUSE OF ACUTE NATURE OF HE DISEASE ,THE INTRA-ABDOMINAL ADHESION'S AND INTRA OPERATIVE ERCP. I NEED CLARIFICATION ON CODING FOR MY PHYSICIAN THE GI DOCTOR IS NOT WITH OUR PRACTICE. WOULD I CODE LIKE THIS 47563-22,44180-59 -22 OR 47564-22, 44180-59,22--- THE GI DOCTOR IS BILLING FOR THE ERCP SO I WAS THINKING THAT WE SHOULDN'T BILL CPT CODE 47564---TY
SuperCoder Answered Wed 08th of July, 2020 04:10:20 AM
Hi Rebecca In CPT Laparoscopy surgical cholecystectomy with cholangiography the provider makes an incision to allow access for instrumentation and then expands the abdominal cavity with carbon dioxide gas inserts a laparoscope in one of the incisions and visualizes the gallbladder dissects the structures surrounding the gallbladder clips the cystic...
Rebecca Posted Wed 08th of July, 2020 12:36:24 PM
AM SORRY I SHOULD HAVE CHECKED FOR BUNDLING UGH I BELIEVE IF IT WAS AN OPEN CHOLECYSTECTOMY THEN WE COULD BILL REGARDING CPT CODE THIS CODE INCLUDED THE ERCP CORRECT ISNT THAT WHAT THE EXPLORATION OF THE COMMON DUCT MEANS DOES AN ERCP HAVE TO BE DONE TO EXP THE...
Rebecca Posted Wed 08th of July, 2020 13:12:49 PM
I maybe able to answer my question cpt -I believe this code includes a cholangiogram In order to use this cpt code the surgeon clips the cystic artery and duct she explores the common bile duct to check for obstructions so if my surgeon states in the OP report clipped...
SuperCoder Answered Thu 09th of July, 2020 06:05:05 AM
Hi Rebecca Yes CPT is for freeing of intestinal adhesion i e Enterolysis when performed with open procedure Whereas CPT is for the cholecystectomy and exploration of common dust CBD when performed laparoscopically In ERCP not only the exploration of common dust is performed but also the gallbladder and pancreas...
Rebecca Posted Thu 09th of July, 2020 12:47:02 PM
yes ty ty
SuperCoder Answered Fri 10th of July, 2020 01:39:38 AM

Thank you, happy to help.

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