CPT code 47570 is a medical billing code for a laparoscopic procedure to create a connection between the gallbladder and the intestine.
CPT code 47570 is a procedure that involves the surgical creation of a connection between the gallbladder and the intestine using laparoscopic techniques. This procedure is typically performed to address issues related to the gallbladder, such as gallstones or other complications, by allowing bile to flow directly into the intestine, bypassing any obstructions.
For CPT code 47570 (Laparo cholecystoenterostomy), 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.
2. Modifier 51 - Multiple Procedures
- Apply this modifier when multiple procedures are performed during the same surgical session.
3. Modifier 52 - Reduced Services
- Use this modifier when the procedure is partially reduced or eliminated at the physician's discretion.
4. Modifier 53 - Discontinued Procedure
- Apply this modifier if the procedure is discontinued due to extenuating circumstances or those that threaten the well-being of the patient.
5. Modifier 59 - Distinct Procedural Service
- Use this modifier to indicate that a procedure or service was distinct or independent from other services performed on the same day.
6. Modifier 62 - Two Surgeons
- Apply this modifier when two surgeons work together as primary surgeons performing distinct parts of a single reportable procedure.
7. Modifier 66 - Surgical Team
- Use this modifier when a team of surgeons is required to perform the procedure.
8. Modifier 76 - Repeat Procedure by Same Physician
- Apply this modifier if the same physician repeats the procedure on the same day.
9. Modifier 77 - Repeat Procedure by Another Physician
- Use this modifier when a procedure is repeated by another physician on the same day.
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
- Apply this modifier if the 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
- Use this modifier when an unrelated procedure is performed by the same physician during the postoperative period.
12. Modifier 80 - Assistant Surgeon
- Apply this modifier when an assistant surgeon is required for the procedure.
13. Modifier 81 - Minimum Assistant Surgeon
- Use this modifier when a minimum assistant surgeon is required for the procedure.
14. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Apply this modifier 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
- Use this modifier when a physician assistant, nurse practitioner, or clinical nurse specialist 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 47570, which refers to laparo cholecystoenterostomy, is subject to reimbursement by Medicare based on its inclusion in the Medicare Physician Fee Schedule (MPFS). The MPFS outlines the payment rates for services provided by physicians and other healthcare professionals to Medicare beneficiaries. However, the actual reimbursement can vary depending on the specific Medicare Administrative Contractor (MAC) that processes claims in your region. Each MAC has the authority to make determinations regarding coverage and payment policies, which can influence whether CPT code 47570 is reimbursed and at what rate. Therefore, it is crucial to consult the local MAC guidelines and the MPFS to confirm the reimbursement status for this specific CPT code.
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