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Laparotomy exploration with placement of VP shutn

Denise Posted Mon 12th of September, 2016 17:58:59 PM
My doctor wants to bill 49000 along with 62223 when he places a VP shunt. He uses a laparoscope for the abdominal portion. II know they do not bundle but is this correct coding?
SuperCoder Answered Tue 13th of September, 2016 08:43:09 AM

Please bill CPT code 62223 with CPT code 49320. CPT code 49000 is for open abdominal procedure where as the provider used laparoscope to perform the abdominal part of the procedure. Therefore, CPT code 49320 is the appropriate code.

Also, NCCI does not bundle CPT code 62223 with 49320, which means they can be billed together. Again i didnot find any reason why these codes cannot be billed together. If the provider used laparascope during the abdominal part of this procedure, then CPT code 49320 can be billed, because the provider is performing the procedure through the seperate site. Hence this code can be billed with CPT code 62223.

 

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