CPT code 49402 is used to describe the procedure for removing a foreign body from the abdomen in a healthcare setting.
CPT code 49402 is used to describe the procedure of removing a foreign body from the abdomen. This code specifically indicates that the healthcare provider has performed a surgical intervention to extract an object that is not naturally part of the body and has become lodged in the abdominal area.
Certainly! Here are the modifiers that could be used with CPT code 49402 for removing a foreign body from the abdomen:
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 increased complexity or difficulty of the procedure.
2. Modifier 51 - Multiple Procedures
- Apply this modifier when multiple procedures are performed during the same surgical session. This indicates that more than one procedure was carried out.
3. 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. It is often used to identify procedures that are not typically reported together but are appropriate under the circumstances.
4. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period
- Use this modifier if the patient needs to return to the operating room for a related procedure during the postoperative period of the initial surgery.
5. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- This modifier is used when a procedure or service performed during the postoperative period is unrelated to the original procedure.
6. Modifier LT - Left Side
- Apply this modifier if the procedure is performed on the left side of the body.
7. Modifier RT - Right Side
- Use this modifier if the procedure is performed on the right side of the body.
8. Modifier 24 - Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period
- This modifier is used when an evaluation and management service provided during the postoperative period is unrelated to the original procedure.
9. Modifier 25 - Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service
- Use this modifier when a significant, separately identifiable evaluation and management service is performed by the same physician on the same day as the procedure.
10. Modifier 26 - Professional Component
- This modifier is used when only the professional component of the service is being billed, typically for services that have both a professional and technical component.
11. Modifier 50 - Bilateral Procedure
- Apply this modifier if the procedure is performed bilaterally (on both sides of the body).
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
CPT code 49402 is reimbursed by Medicare. The code is listed on the Medicare Physician Fee Schedule (MPFS), which indicates that it is a covered service. However, coverage and payment 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 associated with this code.
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