CPT code 47760 is used to describe the procedure of fusing bile ducts and bowel in healthcare billing and documentation.
CPT code 47760 is used to describe a surgical procedure that involves fusing the bile ducts to the bowel. This procedure is typically performed to create a new pathway for bile to flow into the intestine, often in cases where there is a blockage or other issues affecting the normal drainage of bile. It is a specialized intervention aimed at restoring proper digestive function and alleviating symptoms related to bile duct obstructions.
For the CPT code 47760 (Fuse bile ducts and bowel), 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. Documentation must support the substantial additional work and the reason for it.
2. Modifier 51 - Multiple Procedures
- Apply this modifier when multiple procedures are performed during the same surgical session. This helps in identifying that multiple services were provided.
3. Modifier 52 - Reduced Services
- Use this modifier when the procedure is partially reduced or eliminated at the physician's discretion. Documentation should explain why the service was reduced.
4. Modifier 53 - Discontinued Procedure
- This modifier is used when a procedure is discontinued due to extenuating circumstances or those that threaten the well-being of the patient. Documentation should support the reason for discontinuation.
5. Modifier 59 - Distinct Procedural Service
- Apply this modifier to indicate that a procedure or service was distinct or independent from other services performed on the same day. This is often used to identify procedures that are not typically reported together but are appropriate under the circumstances.
6. Modifier 62 - Two Surgeons
- Use this modifier when two surgeons work together as primary surgeons performing distinct parts of a single reportable procedure. Each surgeon should report their distinct operative work.
7. Modifier 66 - Surgical Team
- This modifier is 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
- Apply this modifier when the same physician performs a procedure or service more than once on the same day.
9. Modifier 77 - Repeat Procedure by Another Physician
- Use this modifier when a procedure or service 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
- This modifier is used when a patient requires a return to the operating room for a related procedure during the postoperative period of the initial surgery.
11. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Apply this modifier when a procedure or service performed during the postoperative period is unrelated to the original procedure.
12. Modifier 80 - Assistant Surgeon
- Use this modifier when an assistant surgeon is required during the procedure.
13. Modifier 81 - Minimum Assistant Surgeon
- This modifier is used when an assistant surgeon provides minimal assistance during the procedure.
14. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Apply this modifier when an assistant surgeon is necessary because 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 non-physician practitioner assists in the surgery.
These modifiers help in providing additional information about the performed procedure, ensuring accurate billing and reimbursement. Proper documentation is crucial to support the use of these modifiers.
CPT code 47760 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS), which indicates that it is a covered service. However, coverage and reimbursement may vary depending on the specific Medicare Administrative Contractor (MAC) in your region. It's important to verify with your local MAC for any specific coverage guidelines or documentation requirements related to this procedure.
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