CPT code 49083 is for an abdominal paracentesis procedure performed with imaging guidance to remove fluid from the abdomen.
CPT code 49083 is for an abdominal paracentesis procedure that is performed with imaging guidance. This procedure involves the insertion of a needle into the abdominal cavity to remove excess fluid, which can help diagnose or treat various medical conditions. The use of imaging ensures accurate placement of the needle, enhancing the safety and effectiveness of the procedure.
For CPT code 49083 (Abd paracentesis w/imaging), the following modifiers may be applicable:
1. Modifier 26 - Professional Component: Used when only the professional component of the service is being billed, typically by the physician who interprets the imaging.
2. Modifier TC - Technical Component: Used when only the technical component of the service is being billed, typically by the facility that provides the imaging equipment and technician.
3. Modifier 59 - Distinct Procedural Service: Used to indicate that the procedure is distinct or independent from other services performed on the same day. This is often used to bypass National Correct Coding Initiative (NCCI) edits.
4. Modifier 76 - Repeat Procedure by Same Physician: Used when the same procedure is performed more than once on the same day by the same physician.
5. Modifier 77 - Repeat Procedure by Another Physician: Used when the same procedure is performed more than once on the same day by a different physician.
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: Used when a related procedure is performed during the postoperative period of the initial procedure.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when an unrelated procedure is performed by the same physician during the postoperative period of the initial procedure.
8. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: Used when the same laboratory test is performed more than once on the same day for the same patient.
9. Modifier XS - Separate Structure: Used to indicate that a service is distinct because it was performed on a separate organ/structure.
10. Modifier XE - Separate Encounter: Used to indicate that a service is distinct because it was performed during a separate encounter.
11. Modifier XP - Separate Practitioner: Used to indicate that a service is distinct because it was performed by a different practitioner.
12. Modifier XU - Unusual Non-Overlapping Service: Used to indicate that a service is distinct because it does not overlap usual components of the main service.
These modifiers help provide additional information about the performed service, ensuring accurate billing and reimbursement.
CPT code 49083, which involves a specific medical procedure, is reimbursed by Medicare. To determine the reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS), which outlines the payment rates for various services covered by Medicare. Additionally, it is essential to consult with the appropriate Medicare Administrative Contractor (MAC) for your region, as they are responsible for processing Medicare claims and can provide specific guidance on coverage and reimbursement details for CPT code 49083.
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