CPT code 47532 is an injection used for a cholangiogram, a procedure that visualizes the bile ducts for diagnostic purposes.
CPT code 47532 is for the injection of a contrast material into the biliary system to visualize the bile ducts during a cholangiogram. This procedure is typically performed to diagnose or evaluate conditions affecting the bile ducts, such as obstructions, stones, or tumors. The injection helps enhance imaging during radiological examinations, allowing healthcare providers to obtain clearer and more detailed views of the biliary anatomy.
For CPT code 47532 (Injection for cholangiogram), the following modifiers may be applicable:
1. Modifier 26 - Professional Component: This modifier is used when only the professional component of the service is being billed, typically by the physician who interprets the results.
2. Modifier TC - Technical Component: This modifier is used when only the technical component of the service is being billed, typically by the facility that provides the equipment and staff.
3. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that the procedure is distinct or independent from other services performed on the same day.
4. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when the same physician repeats the procedure on the same day.
5. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when a different physician repeats the procedure on the same day.
6. 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.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used when the procedure is unrelated to the original procedure and occurs during the postoperative period.
8. Modifier 99 - Multiple Modifiers: This modifier is used when more than four modifiers are necessary to describe the service.
Each of these modifiers serves a specific purpose and should be used appropriately to ensure accurate billing and reimbursement.
CPT code 47532 is reimbursable by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS), indicating that it is a covered service. However, reimbursement may vary depending on factors such as the specific Medicare Administrative Contractor (MAC) for your region, medical necessity documentation, and any applicable local coverage determinations (LCDs) or national coverage determinations (NCDs). It's important for healthcare providers to verify coverage and reimbursement details with their local MAC to ensure proper billing and payment for this procedure.
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