CPT code 47379 is an unlisted procedure code for laparoscopic surgery on the liver, used when no specific code exists for the service provided.
CPT code 47379 is used to describe an unlisted laparoscopic procedure performed on the liver. This code is utilized when a specific laparoscopic liver procedure does not have a designated code in the Current Procedural Terminology (CPT) system. It allows healthcare providers to report and bill for unique or less common laparoscopic interventions involving the liver that may not be explicitly categorized elsewhere.
For CPT code 47379 (Unlisted laparoscopic procedure, liver), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Used when the work required to provide a service is substantially greater than typically required.
2. Modifier 52 - Reduced Services: Indicates that a service or procedure is partially reduced or eliminated at the physician's discretion.
3. Modifier 53 - Discontinued Procedure: Used when a procedure is terminated due to extenuating circumstances or those that threaten the well-being of the patient.
4. Modifier 59 - Distinct Procedural Service: Indicates that a procedure or service was distinct or independent from other services performed on the same day.
5. Modifier 62 - Two Surgeons: When two surgeons work together as primary surgeons performing distinct parts of a procedure.
6. Modifier 66 - Surgical Team: Used when a team of surgeons is required to perform a complex procedure.
7. Modifier 76 - Repeat Procedure or Service by Same Physician: Indicates that a procedure or service was repeated by the same physician subsequent to the original procedure or service.
8. Modifier 77 - Repeat Procedure by Another Physician: Indicates that a procedure or service was repeated by another physician subsequent to the original procedure or service.
9. 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 related procedure is performed during the postoperative period of the initial procedure.
10. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Indicates that an unrelated procedure or service was performed by the same physician during the postoperative period.
11. Modifier 80 - Assistant Surgeon: Used when an assistant surgeon is required during the procedure.
12. Modifier 81 - Minimum Assistant Surgeon: Indicates that a minimum assistant surgeon is required during the procedure.
13. 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.
14. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery: Indicates that a non-physician practitioner assisted 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 47379 is not directly reimbursed by Medicare. As an unlisted procedure code, it does not have a set reimbursement rate in the Medicare Physician Fee Schedule (MPFS). When billing this code, providers must submit additional documentation to their Medicare Administrative Contractor (MAC) for individual consideration. The MAC will review the documentation and determine an appropriate reimbursement amount based on the complexity and resources required for the specific procedure performed.
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