CPT code 47361 is a medical billing code used to describe the procedure for repairing a liver wound in healthcare settings.
CPT code 47361 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 47361 (Repair liver wound), the following modifiers may be applicable:
1. Modifier 22 (Increased Procedural Services): Used when the work required to perform the procedure is substantially greater than typically required. This could be due to factors such as increased complexity or time.
2. Modifier 51 (Multiple Procedures): Applied when multiple procedures are performed during the same surgical session. This helps in indicating that the procedure was part of a series of operations.
3. Modifier 59 (Distinct Procedural Service): Used to identify procedures/services that are not normally reported together but are appropriate under the circumstances. This modifier indicates that the liver wound repair was distinct or independent from other services performed on the same day.
4. Modifier 62 (Two Surgeons): When two surgeons work together as primary surgeons performing distinct parts of a single reportable procedure, each surgeon should report their distinct operative work by adding this modifier.
5. Modifier 66 (Surgical Team): Used when a highly complex procedure requires the services of several physicians, often of different specialties, plus other highly skilled personnel.
6. Modifier 76 (Repeat Procedure by Same Physician): Applied when the same physician needs to repeat the procedure on the same day. This indicates that the repair of the liver wound was performed more than once by the same provider.
7. Modifier 77 (Repeat Procedure by Another Physician): Used when a procedure is repeated by another physician on the same day. This modifier indicates that the liver wound repair was performed more than once by different providers.
8. 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 is used when the patient needs to return to the operating room for a related procedure during the postoperative period of the initial surgery.
9. Modifier 79 (Unrelated Procedure or Service by the Same Physician During the Postoperative Period): Applied when an unrelated procedure is performed by the same physician during the postoperative period of the initial procedure.
10. Modifier 80 (Assistant Surgeon): Used when an assistant surgeon is required to help with the procedure. This indicates that another surgeon assisted in the liver wound repair.
11. Modifier 81 (Minimum Assistant Surgeon): Applied when an assistant surgeon is required for a short duration during the procedure.
12. Modifier 82 (Assistant Surgeon (when qualified resident surgeon not available)): Used when an assistant surgeon is necessary because a qualified resident surgeon is not available.
13. Modifier AS (Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery): This modifier is used when a non-physician provider assists in the surgery.
These modifiers help in providing additional information about the circumstances under which the liver wound repair was performed, ensuring accurate billing and reimbursement.
CPT code 47361 is reimbursed by Medicare. The code is listed on the Medicare Physician Fee Schedule (MPFS), which indicates that it is a covered service. However, coverage and payment may vary depending on the specific Medicare Administrative Contractor (MAC) in your region. It's essential to verify with your local MAC for any specific coverage guidelines or documentation requirements associated with this code.
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