If a procedure is discontinued before any other root operation is performed, Medicare Contractor Medical Directors (CMDs) propose that CPT codes 47560, 47562, and 47563 are potentially misvalued because the more extensive code has lower work RVUs than the less extensive codes.4 The ACS disagrees and believes that the CMDs may have overlooked the fact that 47560 (Laparoscopy, surgical; with guided transhepatic cholangiography, without biopsy) has a 000-day global period. Spending an extra 20 or 30 minutes is probably not enough, Elliott says, because fees are based on the average time it takes to perform the procedure. Laparoscopic cholecystectomy is the gold standard treatment for benign gallbladder pathologies. alcoholic drinks, including beer, wine, and spirits. You now have the opportunity to claim CME credit for time spent reading the monthly Bulletin of the American College of Surgeons. Seven C. Four D. Five, The fifth character of the ICD-10-PCS code is for the approach, which identifies the method used to reach the . endstream endobj 557 0 obj <>/Metadata 27 0 R/Pages 554 0 R/StructTreeRoot 50 0 R/Type/Catalog/ViewerPreferences<>>> endobj 558 0 obj <. Medical Billing Question and Answer Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] Full List, Internal Medical Billing Audit how to do, CPT CODE 47562, 47563, 47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY. Laparoscopic cholecystectomy is the gold standard treatment for benign gallbladder pathologies. All Rights Reserved to AMA. The table below shows rainfall totals for Houston, Texas, during the first six months of the year. B3.3 . Eighty-six patients (2.6%) required conversion to open cholecystectomy during the study period. Divide the ascending colon in a similar fashion. Such companies have experienced AAPC-certified coders who are knowledgeable about coding and billing guidelines for this specialty and can ensure accurate claims for optimal reimbursement. A scalpel is used to make a small incision at the umbilicus. An additional port may be necessary depending on patient anatomy. She has over five years of experience in medical coding and Health Information Management practices. 2022 Apr;26(4):837-848. doi: 10.1007/s11605-022-05249-5. Robotic-assistance, hand-assistance, or minor incision for specimen extraction with or without extracorporeal work is still considered a laparoscopic procedure. The physicians operative report should include everything done to care for the patient. In the Unites States, 90% are performed laparoscopically. It is the preferred procedure for stones removal and inflammation in gall bladder. For the Cy2013 PFS, these codes are correctly ranked. Clinical Documentation and Prior Authorization Required Tufts healh plan required authorization for below services. Answer: CPT 2001 includes the following lap chole procedures: Surgical procedures StatisticsThe goal of the surgical cross-over exhibits was to identify total volume, spending, price per procedure, and differences in cost across settings of care for procedures that can be performed either in hospital inpatient or hospital outpatient settings. In cases where the surgeon spends considerable time trying to perform the procedure laparoscopically before converting to open, however, modifier -22 may be appended to the open procedure (either 47600, cholecystectomy, or 47605). In this situation, appending modifier -22 to the open cholecystectomy code may be appropriate because the patients condition required more time and effort. For all other claims, report the appropriate CPT code for laparoscopy, surgical; cholecystectomy (any method), and the appropriate CPT code for laparoscopy, surgical: cholecystectomy with cholangiography. This is because open surgery leaves the patient more prone to infection. Just because a procedure was converted from laparoscopic to open does not automatically justify the use of modifier -22, she explains. Accomplish the anastomosis between the ileum and the remaining ascending colon by stapling with a gastrointestinal anastomosis stapler to join the two limbs of bowel. Cholecystectomy is the surgical removal of the gallbladder. Only the code for the successful procedure, in this case the open cholecystectomy, should be reported. procedure converted to open procedure, to show the conversion to open procedure. The https:// ensures that you are connecting to the Single-step treatment of gall bladder and bile duct stones: a combined endoscopic-laparoscopic technique. Although the CPT descriptor includes the term colostomy, the Medicare physician fee schedule work relative value unit(RVU) for this code is based on creation of either a colostomy or an ileostomy. (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury. If this same procedure was performed laparoscopically, the correct code to report would be 44208,Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy. The perforated bowel is not an error, says Terry Fletcher, BS, CPC, CCS-P, a coding and reimbursement specialist in Laguna Niguel, Calif. Rather, it should be viewed as an unfortunate side effect of lysing adhesions. Surgical Modifiers: How Do They Impact Reimbursement? The CPT codes for cholecystectomy (outpatient) effective January 1, 2018 are as follows: Awareness of issues such as severity, laterality, specific location, chronicity, causation, and treatment encounter is crucial to ensure specificity in ICD-10 coding. The study population was identified by CPT code 47562, 47563, and 47564 utilizing a centralized electronic medical . Although laparoscopic cholecystectomy is nowadays one of the most performed surgical operation in abdominal surgery, some aspects, concerning the emergency setting, have to be yet investigated. Code History 2016 (effective 10/1/2015) : New code (first year of non-draft ICD-10-PCS) A total of 310 patients (5.2%) had had their cholecystectomies converted to an open procedure. When modifier -22 is attached to the open cholecystectomy to note additional effort and time, this V code helps explain to the carrier why the additional payment is being claimed. Bookshelf Designed by Elegant Themes | Powered by WordPress. When this occurs, HCFA coding guidelines clearly state that only the open procedure should be billed. Other Policies and Guidelines may apply. Hepatogastroenterology. What is the root operation for laparoscopic cholecystectomy? The decision is made to proceed with surgery to remove the involved segment of terminal ileum. 556 0 obj <> endobj J Gastrointest Surg. All the information are educational purpose only and we are not guarantee of accuracy of information. S syllingk Guest Messages We use cookies to ensure that we give you the best experience on our website. The small intestine has three parts. For example, the general surgeon begins a lap chole on a 68-year-old male with gallbladder disease. Question: Furthermore, carriers in some states may only pay for physician S&I performed by a certified radiologist. The procedure performed for the purposes of this example is an attempted percutaneous robotic-assisted laparoscopic total hysterectomy, converted to an open total abdominal hysterectomy. Although some surgeons try to bill both services by appending modifier -53 (discontinued procedure) to the lap chole with cholangiogram (47563, or 47562 if no cholangiogram was performed), this is incorrect because 47605 and 47563 describe different ways of performing the same service. The ACS, ASCRS, and SAGES agree that the procedures described as open in the CPT code set have always clearly meant that a laparotomy was performed and that the procedures described as laparoscopic have always clearly meant that the beginning, end, and most or all of the work in . This approach involves a picture or minor incision through the skin or mucous membrane and any other body layers necessary using instrumentation to reach the site for the procedure. At the very least, if the surgeons practice is audited, the payer may request a refund. The following list(s) of codes is provided for reference purposes only and may not be all inclusive. In this situation, only 47605 (cholecystecomy; with cholangiography) should be billed. FOIA Can a laparoscopy be converted to a cholecystectomy? In the CY 2013 PFS, CMS identified CPT codes 47562 and 47563 as potentially misvalued based on a public commenter that questioned the rank order. caffeine, which is often in tea, coffee, chocolate, and energy drinks. My doctor started a laparoscopic cholecystectomy that had to be converted to open due to significant adhesions. With a second grasper, the gallbladder infundibulum is retracted laterally to expose and open Calots Triangle (the area bound by the inferior border of the liver, cystic duct, and common hepatic duct). Would you like email updates of new search results? Author Recent Posts John Verhovshek John Verhovshek, MA, CPC, is a contributing editor at AAPC. In this invasive procedure, the technique of laparoscopy is used and gall bladder is removed by making 4 to 5 small incisions than a long cut. Less than 10% of patients will fail this protocol and another 5% may require hospitalization after returning to their homes. Only the completed surgical procedure may be reported. Question 12.Question : (TCO 6) If a patient has a laparoscopic cholecystectomy converted to an open cholecystectomy, the ICD-10-PCS coding guidelines require that the coder must code: Student Answer: open resection of the gallbladder percutaneous endoscopic inspection both percutaneous endoscopic inspection and open . This work is followed by either an extension of a trocar site incision or creation of a separate small incision for extraction of the specimen and/or extracorporeal creation of an anastomosis based on surgeon preference. and surgeons in the laparoscopic group will aim for laparoscopic cholecystectomy with conversion to open cholecystectomy if this is indicated. The five major cross-over procedures were identified as the highest-volume procedures billed by surgeons in 2013 where at least 10 percent of the surgeries occurred at an inpatient hospital and at least 10 percent occurred in a hospital outpatient setting. For example, cholangiograms are frequently performed in conjunction with cholecystectomies (both laparoscopic and open), but occasionally the former procedure is not listed at the top of the operative report. When you buy a model home do you get the furniture? Note: If the surgeon must repair a bowel injured by another physician, the procedure should be billed 44602 (suture of small intestine [enterorrhaphy] for perforated ulcer, diverticulum, wound, injury or rupture; single perforation), 44603 (. In order to obtain prior authorization for procedure(s), choose appropriate InterQual SmartSheet(s) listed below. Evaluation of Preoperative Risk Factor for Converting Laparoscopic to Open Cholecystectomy: A Meta-Analysis. Discontinued procedures . 47562 Laparoscopy, surgical; cholecystectomy Average fee amount $600 $750, 47563 Laparoscopy, surgical; cholecystectomy with cholangiography, 47564 Laparoscopy, surgical; cholecystectomy with exploration of common duct Average fee amount- $1050 $1200. cpt codes for laparoscopic cholecystectomy. The 2021 National Average Medicare physician payment rates have been calculated using a 2021 conversion factor of $34.8931. You perform a laparoscopic cholecystectomy on a patient and as part of your . 47564 with exploration of common duct. The triangle is gently dissected to clear the peritoneal covering and obtain a view of the underlying structures. help the operating surgeon code the surgery as simple or difficult. How do I report removal of a lipoma of the spermatic cord and repair of a reducible inguinal hernia performed at the same time, through the same incision? Please reach out and we would do the investigation and remove the article. 47562 Laparoscopy, surgical; cholecystectomy47563 Laparoscopy, surgical; cholecystectomy with cholangiography47564 Laparoscopy, surgical; cholecystectomy with exploration of common duct. For more information about the workshops, including details for registering for a 2019 class, visit the ACS website. The endoscopic procedure is not separately reportable with the completed procedure. In addition, CPT code 47562, which had previously been reviewed in 1995 and 2005, was used as a stable reference service when valuing CPT code 47563. A laparoscopic cholecystectomy may be converted to an open cholecystectomy. In all three situations, no additional codes may be billed. Tip 1: Read the Entire Operative Report The CPT code for this combo procedure is 47563. eCollection 2021 Aug. Purzner RH, Ho KB, Al-Sukhni E, Jayaraman S. Can J Surg. The following clinical example and procedural description was used in the development of the code descriptor and the Medicare physician fee schedule work relative value units for code 44205, Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum and ileocolostomy. The gallbladder fundus is identified, grasped, and retracted superiorly. The ICD-10-PCS code assignment for this example is: 0UT90ZZ, Resection of uterus, open approach (for the hysterectomy) 0UTC0ZZ, Resection of cervix, open . I code from the record, never by what doctors write at the beginning. Enter a Melbet promo code and get a generous bonus, An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. Chicago, IL 60611, Laparoscopic colectomy description of work, www.cms.gov/Medicare/Coding/ICD10/2019-ICD-10-PCS.html. If a laparoscopic procedure fails and is converted to an open procedure, the physician should not report a diagnostic laparoscopy in lieu of the failed laparoscopic procedure. My doctor started a laparoscopic cholecystectomy that had . Because of overutilization, modifier -22 has become a red flag for audit, and physicians must abide by stringent documentation and compliance guidelines when using it. Facilities, not physicians, report ICD-10-PCS codes, and these codes define various approaches that do not correspond to CPT coding (open, closed, percutaneous, laparoscopic). CPT and CodeManager are registered trademarks of the American Medical Association. CPT Code: 47562, 47563 Cholecystectomy is the surgical removal of the gallbladder. The liver, pancreas, and gallbladder are the solid organs of the digestive system. *All specific references to CPT codes and descriptions are 2018 American Medical Association. Free market-loving, price-displaying, state-of-the-art, AAAHC accredited, doctor owned, multispecialty surgical facility in central OK. Laparoscopic cholecystectomy requires several small incisions in the abdomen to allow the insertion of operating ports, small cylindrical tubes approximately 5 to 10 mm in diameter, through which surgical instruments and a video camera are placed into the. This may represent a different session, different procedure or operation, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries, Code Description0FJB4ZZ Inspection of Hepatobiliary Duct, Percutaneous Endoscopic Approach0FT44ZZ Resection of Gallbladder, Percutaneous Endoscopic ApproachBF10YZZ Fluoroscopy of Bile Ducts using Other ContrastBF50200 Other Imaging of Bile Ducts using Fluorescing Agent, Indocyanine Green Dye, IntraoperativeBF502Z0 Other Imaging of Bile Ducts using Fluorescing Agent, IntraoperativeBF52200 Other Imaging of Gallbladder using Fluorescing Agent, Indocyanine Green Dye, IntraoperativeBF522Z0 Other Imaging of Gallbladder using Fluorescing Agent, IntraoperativeBF53200 Other Imaging of Gallbladder and Bile Ducts using Fluorescing Agent, Indocyanine Green Dye, IntraoperativeBF532Z0 Other Imaging of Gallbladder and Bile Ducts using Fluorescing Agent, Intraoperativ. When a cholangiogram is performed in conjunction with a lap chole and no radiologist is present, the surgeon will interpret the images on the fluoroscope to guide the procedure. Again, modifier -22 should be appended to indicate that significant additional work and time were required to perform the procedure. There may be separate CPT codes describing each service. In one cross-sectional study, the conversion from laparoscopic to open surgery for cholecystectomy was only 0.6% (Yuda Handaya et al., 2021). government site. Despite its low incidence, the medical implications for the patient can be serious. j!9[",ge`Ze`@ q/= Hospital policy usually dictates that anything sent back to the radiology department must generate a report signed by a hospital radiologist, even if S&I was already performed by the surgeon. Natalie joined MOS Revenue Cycle Management Division in October 2011. 2008). 587 0 obj <>/Filter/FlateDecode/ID[<07367116D9DFB94CBA4100F1475D6482>]/Index[556 67]/Info 555 0 R/Length 131/Prev 330327/Root 557 0 R/Size 623/Type/XRef/W[1 2 1]>>stream All the articles are getting from various resources. CPT Code2 Description Physician3 Ambulatory Surgical Center 4 Hospital Outpatient 47563 Laparoscopy, surgical; cholecystectomy with cholangiography Facility Only: $744 $2,363 $5,168 47564 Laparoscopy, surgical; cholecystectomy with exploration of common duct Facility Only: $1,154 $2,363 $5,168 Inpatient Choledocholithiasis Management: a Cost-Effectiveness Analysis of Management Algorithms. Laparoscopic Cholecystectomy is the procedure of gall bladder removal. A. Accessibility prealgebra. Because cholangiography is routinely performed in conjunction with a lap chole, some surgeons forget to mention cholangiography at the top of the operative report, says Elaine Elliott, CPC, an independent general surgery coding specialist in Stuart, Fla. CPT code 47605 cholecystectomy w/ cholangiography ICD-9 procedure code 51.22 cholecystectomy , 87.53 Intraoperative cholangiogram and will have to add V64.41 laparoscopic surgical procedure converted to open along with your other ICD-9 dx's. B bill2doc Expert Messages 454 Best answers 0 Nov 29, 2012 #3 Thank you very much! Sometimes a lap chole must be converted to an open procedure due to intraoperative findings, such as inflammation or extremely extensive adhesions. The surgeon may also explore the common bile duct for gallstones at the same time. This is reflected in the relative value units assigned to each procedure: 47562, 18.17; 47563 19.59; 47564, 23.59. endstream endobj startxref You may appropriately bill the extra time using modifier -22. She brings twenty five years of hands on management experience to the company. Epub 2022 Nov 23. The difference between CPT codes 47562 and 47563 is the work of the intraoperative cholangiography. In addition to abdominal pain, patients may report nausea, vomiting, chills and fever. Z53.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-PCS guidelines. Resection Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Outsource Strategies International is one of the leading medical billing and coding companies in the medical outsourcing space focused on all aspects of revenue cycle management. Please enable it to take advantage of the complete set of features! The 2023 edition of ICD-10-CM Z53.31 became effective on October 1, 2022. Following trends in national coding blogs and websites, institutional coders have concluded that extracorporeal extraction and creation of an anastomosis is an open procedure, making the operation an open colectomy. The design of the study allows wide inclusion criteria for participants . Dont forget to add the appropriate diagnostic code to indicate the conversion. In addition, gangrenous changes and initial dissection result in perforations and consequent bile spillage. 2022 Oct-Dec;12(4):56-63. doi: 10.4103/jwas.jwas_162_22. The second procedure is usually performed because the initial approach was unsuccessful in accomplishing the medically necessary service; those procedures are considered sequential procedures. Let's ra, With the large amounts of clinical documentation a, Arterial embolization is a minimally-invasive proc, Need professional support to meet those medical bi, February is observed as American Heart Month, Streamline the billing process and prevent claim d, Cracking the Code: Understanding CDT Codes for Dental Bridges, Dental Billing Codes for Reporting Osseous Surgery, K80.00 (calculus of gallbladder with acute cholecystitis without obstruction, K80.01 (calculus of gallbladder with acute cholecystitis with obstruction, K80.10 (calculus of gallbladder with chronic cholecystitis without obstruction), K80.11 (calculus of gallbladder with chronic cholecystitis with obstruction), K80.12 (calculus of gallbladder with acute and chronic cholecystitis without obstruction), K80.13 (calculus of gallbladder with acute and chronic cholecystitis with obstruction), K80.18 (calculus of gallbladder with other cholecystitis without obstruction), K80.19 (calculus of gallbladder with other cholecystitis with obstruction), K80.20 (calculus of gallbladder without cholecystitis without obstruction), K80.21 (calculus of gallbladder without cholecystitis with obstruction), K80.30 (calculus of bile duct with cholangitis, unspecified, without obstruction, K80.31 (calculus of bile duct with cholangitis, unspecified, with obstruction), K80.32 (calculus of bile duct with cholangitis, without obstruction), K80.33 (calculus of bile duct with cholangitis, with obstruction), K80.34 (calculus of bile duct with chronic cholangitis, without obstruction), K80.35 (calculus of bile duct with chronic cholangitis, with obstruction), K80.36 (calculus of bile duct with acute and chronic cholangitis, without obstruction), K80.37 (calculus of bile duct with acute and chronic cholangitis, with obstruction), K80.40 (calculus of bile duct with cholecystitis, unspsecified without obstruction), K80.41 (calculus of bile duct with cholecystitis, unspecified, with obstruction), K80.42 (calculus of bile duct with acute cholecystitis without obstruction), K80.43 (calculus of bile duct with acute cholecystitis with obstruction), K80.44 (calculus of bile duct with chronic cholecystitis without obstruction), K80.45 (calculus of bile duct with chronic cholecystitis with obstruction), K80.46 (calculus of bile duct with acute and chronic cholecystitis without obstruction), K80.47 (calculus of bile duct with acute and chronic cholecystitis with obstruction), K80.50 (calculus of bile duct without cholangitis or cholecystitis without obstruction), K80.51 (calculus of bile duct without cholangitis or cholecystitis with obstruction), K80.60 (calculus of gallbladder and bile duct with cholecystitis, unspecified, without obstruction), K80.61 (calculus of gallbladder and bile duct with cholecystitis, unspecified, with obstruction), K80.62 (calculus of gallbladder and bile duct with acute cholecystitis without obstruction), K80.63 (calculus of gallbladder and bile duct with acute cholecystitis with obstruction), K80.64 (calculus of gallbladder and bile duct with chronic cholecystitis without obstruction), K80.65 (calculus of gallbladder and bile duct with chronic cholecystitis with obstruction), K80.66 (calculus of gallbladder and bile duct with acute and chronic cholecystitis without obstruction), K80.67 (calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction), K80.7 (calculus of gallbladder and bile duct without cholecystitis), K80.70 (calculus of gallbladder and bile duct without cholecystitis without obstruction), K80.71 (calculus of gallbladder and bile duct without cholecystitis with obstruction), K80.80 (other cholelithiasis without obstruction), K80.81 other cholelithiasis with obstruction), K81.2 (acute cholecystitis with chronic cholecystitis), 47562 (laparoscopic cholecystectomy without cholangiography), 47563 (laparoscopic cholecystectomy with cholangiography), 47564 (laparoscopic cholecystectomy with exploration of the common bile duct), 47600 (cholecystectomy without cholangiography), 47605 (cholecystectomy with cholangiography), 47610 (cholecystectomy with exploration of the common bile duct), 47612 (cholecystectomy with exploration of common bile duct; with choledochoenterostomy), 47620 (cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography). Reasons for conversion from laparoscopic to open cholecystectomy: a 10-year review. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. What should I not eat with no gallbladder? +CPT Code 47550 is an Add-On code and must be reported with a primary procedure. It should feel a bit better each day. CPT Code: 47562, 47563 Cholecystectomy is the surgical removal of the gallbladder. 2006). To be clear, the trends in national coder discussions contradict the original descriptions and intent of laparoscopic colectomy procedures. It is incorrect to report a code for ileostomy or jejunostomy (44310 or 44187) with a partial colectomy code (for example, 44145 or 44207) for this procedure, as doing so would be unbundling. 3x + 4z = -2, xy. Common uncontrolable risk factors for gallstone disorders include being female, being 60 years or older, being of Native American or Mexican-American descent, and family history. Ghazal AH, Sorour MA, El-Riwini M, El-Bahrawy H. Int J Surg. Study with Quizlet and memorize flashcards containing terms like What is the implementation date of ICD-10-PCS? About 20 million people in the USA (15% of the population) have gallstones, according to the World Gastroenterology Organization. These codes which correspond to similar open procedures that follow in the CPT manual are arranged sequentially (i.e., 47563 includes 47562 plus cholangiography, and 47564 includes 47563 plus exploration of common duct). Coders must also be aware of several coding guidelines and bundling edits that may apply. The completed SmartSheet(s) must be sent to the applicable fax number listed above, according to Plan. Cholecystectomy, Laparoscopic Cholecystectomy, Laparoscopic, Cholangiogram Intraoperative with LaparoscopicCholecystectomy. What is the CPT code for a cholangiogram? .multiple perforations) or 44604 (suture of large intestine [colorrhaphy] for perforated ulcer, diverticulum, wound, injury or rupture [single or multiple perforations]; without colostomy), depending on the situation. This site needs JavaScript to work properly. 4 How painful is laparoscopic gallbladder surgery? Answer: You will code an outpatient consultation with a 57 modifier for the evaluation and management (E & M) service. However, inflammation, adhesions, and anatomic difficulty continue to challenge the use and safety of this approach in a small number of patients. %PDF-1.6 % conversion of laparoscopic cholecystectomy; Am J . Therefore, these codes should never be billed together. Read More. %%EOF 633 N. Saint Clair St. After an extracorporeal anastomosis, the colon is returned to the abdomen, the extraction site is closed, pneumoperitoneum is reestablished, and the remainder of the procedure is performed laparoscopically, including final irrigation and inspection. ICD-10-PCS 0FT40ZZ is a specific/billable code that can be used to indicate a procedure. She notes that the surgeon opted to convert to an open procedure shortly after beginning the lap chole. 1 What is the CPT for laparoscopic cholecystectomy? Laparoscopic cholecystectomy is the procedure of gall bladder removal. It is a common treatment of symptomatic gallstones and other gallbladder conditions. hbbd``b`v ~ !$6Hl{ADH0j @I$$$Xl'@ !H A A,h)& S@,aK!#w These codes which correspond to similar open procedures that follow in the CPT manual are arranged sequentially (i.e., 47563 includes 47562 plus cholangiography, and 47564 includes 47563 plus exploration of common duct). All 5884 patients undergoing laparoscopic cholecystectomy between March 1991 and June 2001 were prospectively collected in a database. Gallbladder adhesion degree as predictor of conversion surgery, common bile duct injury and resurgery in laparoscopic cholecystectomy: A cross-sectional study.