CPT code 47350 is a medical billing code used to describe the procedure for repairing a liver wound.
CPT code 47350 is used to describe the surgical procedure for repairing a wound in the liver. This code indicates that a healthcare provider has performed a specific intervention to address damage or injury to the liver, ensuring proper healing and function.
For CPT code 47350 (Repair liver wound), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services
- Use this modifier when the work required to perform the procedure is substantially greater than typically required. This could be due to factors such as the complexity of the wound or the patient's condition.
2. Modifier 51 - Multiple Procedures
- This modifier is used when multiple procedures are performed during the same surgical session. It indicates that the repair of the liver wound was one of several procedures performed.
3. Modifier 59 - Distinct Procedural Service
- Apply this modifier to indicate that the repair of the liver wound was a distinct procedural service from other services performed on the same day. This is used to avoid bundling issues and to clarify that the procedures are separate and necessary.
4. Modifier 62 - Two Surgeons
- Use this modifier when two surgeons work together as primary surgeons performing distinct parts of the procedure. This could be relevant if the repair of the liver wound required the expertise of two different surgeons.
5. Modifier 76 - Repeat Procedure by Same Physician
- This modifier is used if the same physician needs to repeat the repair of the liver wound procedure on the same day. It indicates that the procedure was necessary to be performed again.
6. Modifier 77 - Repeat Procedure by Another Physician
- Apply this modifier if a different physician needs to repeat the repair of the liver wound procedure on the same day. It signifies that the procedure was necessary to be performed again by another physician.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period
- This modifier is used if the patient needs to return to the operating room for a related procedure during the postoperative period of the initial liver wound repair.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Use this modifier when the repair of the liver wound is performed during the postoperative period of another, unrelated procedure by the same physician.
9. Modifier 80 - Assistant Surgeon
- This modifier is used when an assistant surgeon is required to help with the repair of the liver wound. It indicates that another surgeon assisted in the procedure.
10. Modifier 81 - Minimum Assistant Surgeon
- Apply this modifier when a minimum assistant surgeon is required for the procedure. It indicates that the assistance was minimal but necessary.
11. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Use this modifier when an assistant surgeon is necessary because a qualified resident surgeon was not available to assist with the repair of the liver wound.
12. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery
- This modifier is used when a physician assistant, nurse practitioner, or clinical nurse specialist assists in the surgery. It indicates that a non-physician provider assisted in the procedure.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 47350, which involves the repair of a liver wound, is reimbursed by Medicare. To determine the reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS), which outlines the payment rates for services covered under Medicare Part B. Additionally, the specific reimbursement details and any potential regional variations can be obtained from the Medicare Administrative Contractor (MAC) that services the provider's geographic area. It is essential for providers to consult both the MPFS and their respective MAC to ensure accurate billing and reimbursement for CPT code 47350.
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