CPT code 47370 is a medical billing code for laparoscopic radiofrequency ablation of a liver tumor.
CPT code 47370 is used to describe a laparoscopic procedure for the ablation of a liver tumor using radiofrequency energy. This minimally invasive technique involves inserting a laparoscope and specialized instruments through small incisions in the abdomen to target and destroy cancerous tissue in the liver, thereby reducing the tumor size or eliminating it altogether.
For CPT code 47370, which pertains to laparoscopic ablation of liver tumors using radiofrequency, 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 modifier indicates that the procedure is one of several performed.
3. Modifier 52 (Reduced Services): Used when the procedure is partially reduced or eliminated at the physician's discretion. This could occur if the full extent of the procedure is not necessary.
4. Modifier 53 (Discontinued Procedure): Applied when a procedure is started but discontinued due to extenuating circumstances or those that threaten the well-being of the patient.
5. Modifier 59 (Distinct Procedural Service): Used to indicate that a procedure or service was distinct or independent from other services performed on the same day. This is often used to bypass National Correct Coding Initiative (NCCI) edits.
6. Modifier 62 (Two Surgeons): Applied when two surgeons work together as primary surgeons performing distinct parts of a single reportable procedure.
7. Modifier 66 (Surgical Team): Used when a highly complex procedure requires the services of several physicians, often of different specialties, working together as a team.
8. Modifier 76 (Repeat Procedure by Same Physician): Used when the same procedure is repeated by the same physician subsequent to the original procedure.
9. Modifier 77 (Repeat Procedure by Another Physician): Applied when the same procedure is repeated by a different physician subsequent to the original procedure.
10. Modifier 78 (Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period): Used when a patient requires a return to the operating room for a related procedure during the postoperative period.
11. Modifier 79 (Unrelated Procedure or Service by the Same Physician During the Postoperative Period): Applied when a procedure or service performed during the postoperative period is unrelated to the original procedure.
12. Modifier 80 (Assistant Surgeon): Used when an assistant surgeon is required during the procedure.
13. Modifier 81 (Minimum Assistant Surgeon): Applied when an assistant surgeon is required for a minimal portion of the procedure.
14. Modifier 82 (Assistant Surgeon (when qualified resident surgeon not available)): Used when an assistant surgeon is required and a qualified resident surgeon is not available.
15. Modifier AS (Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery): Applied when a non-physician practitioner assists in the surgery.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
CPT code 47370 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS) and is eligible for payment. However, coverage and reimbursement may vary depending on the specific Medicare Administrative Contractor (MAC) in your region. Healthcare providers should consult their local MAC for specific coverage guidelines and documentation requirements related to CPT 47370.
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