CPT code 47360 is a medical billing code used to describe the procedure for repairing a liver wound.
CPT code 47360 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 47360 (Repair liver wound), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services
- Use this modifier if the procedure required significantly more work than typically required. This could be due to complications or other factors that increased the complexity of the repair.
2. Modifier 51 - Multiple Procedures
- Apply this modifier if multiple procedures were performed during the same surgical session. This indicates that the liver wound repair was one of several procedures.
3. Modifier 59 - Distinct Procedural Service
- Use this modifier to indicate that the liver wound repair was distinct or independent from other services performed on the same day. This helps to clarify that the procedures were separate and not overlapping.
4. Modifier 62 - Two Surgeons
- This modifier is used when two surgeons work together as primary surgeons performing distinct parts of the procedure. It indicates that the liver wound repair was a collaborative effort.
5. Modifier 66 - Surgical Team
- Apply this modifier if the procedure required a surgical team due to its complexity. This indicates that multiple specialists were involved in the liver wound repair.
6. Modifier 76 - Repeat Procedure by Same Physician
- Use this modifier if the same physician had to repeat the liver wound repair procedure on the same day. This helps to differentiate the repeated service from the initial one.
7. Modifier 77 - Repeat Procedure by Another Physician
- This modifier is used if a different physician had to repeat the liver wound repair procedure on the same day. It indicates that the repeat procedure was necessary and performed by another provider.
8. Modifier 78 - Unplanned Return to the Operating Room
- Apply this modifier if the patient had to return to the operating room for an unplanned follow-up procedure related to the initial liver wound repair. This indicates that the return was necessary due to complications or other unforeseen issues.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician
- Use this modifier if the liver wound repair was performed during the postoperative period of another unrelated procedure. This clarifies that the repair was not related to the initial surgery.
10. Modifier 80 - Assistant Surgeon
- This modifier is used when an assistant surgeon is required to help with the liver wound repair. It indicates that an additional surgeon was necessary for the procedure.
11. Modifier 81 - Minimum Assistant Surgeon
- Apply this modifier if a minimum assistant surgeon was required for the liver wound repair. This indicates that the assistance was limited but necessary.
12. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Use this modifier if an assistant surgeon was needed because a qualified resident surgeon was not available. This indicates that the assistance was essential due to the unavailability of a resident.
13. 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 liver wound repair. It indicates that a non-physician provider was involved in the procedure.
These modifiers help provide additional context and specificity to the liver wound repair procedure, ensuring accurate billing and appropriate reimbursement.
CPT code 47360 is reimbursed by Medicare. The code is listed on the Medicare Physician Fee Schedule (MPFS), which indicates that it is a covered service. However, reimbursement may vary depending on factors such as the specific Medicare Administrative Contractor (MAC) for the provider's region, medical necessity documentation, and any applicable local coverage determinations (LCDs) or national coverage determinations (NCDs).
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