CPT code 47382 is a medical billing code for percutaneous radiofrequency ablation of liver tissue, used to describe a specific procedure.
CPT code 47382 is for the procedure of percutaneous radiofrequency ablation of the liver. This involves using radiofrequency energy to destroy cancerous or abnormal tissue in the liver through a minimally invasive approach, typically guided by imaging techniques. This procedure is often utilized to treat liver tumors and can help reduce the size of the tumor or alleviate symptoms associated with liver disease.
For CPT code 47382 (Percutaneous ablation of liver tumor(s) using radiofrequency), 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 increased complexity or time.
2. Modifier 26 - Professional Component
- This modifier is used when only the professional component of the service is being billed, typically by the physician.
3. Modifier 52 - Reduced Services
- Apply this modifier when the procedure is partially reduced or eliminated at the physician's discretion.
4. Modifier 53 - Discontinued Procedure
- Use this modifier if the 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
- This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
6. Modifier 76 - Repeat Procedure by Same Physician
- Apply this modifier when the same physician performs a repeat procedure on the same day.
7. Modifier 77 - Repeat Procedure by Another Physician
- Use this modifier when a repeat procedure is performed by a different physician on the same day.
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 modifier is used when the patient returns to the operating room for a related procedure during the postoperative period.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Apply this modifier when an unrelated procedure is performed by the same physician during the postoperative period of the initial procedure.
10. Modifier 80 - Assistant Surgeon
- Use this modifier when an assistant surgeon is required for the procedure.
11. Modifier 81 - Minimum Assistant Surgeon
- Apply this modifier when a minimum assistant surgeon is required for the procedure.
12. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Use this modifier when an assistant surgeon is required because a qualified resident surgeon is not available.
13. Modifier 99 - Multiple Modifiers
- This modifier is used when two or more modifiers are necessary to describe the service provided.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 47382 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of fees and reimbursement rates for services covered by Medicare. Additionally, it is crucial to consult with your regional Medicare Administrative Contractor (MAC) to confirm any local coverage determinations or specific billing guidelines that may apply to CPT code 47382. Each MAC may have unique requirements or documentation standards that must be met to ensure proper reimbursement.
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