cpt code for laparoscopic cholecystectomy converted to open

If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. Visualize and protect the duodenum and right ureter during this mobilization. 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. Then divide the terminal ileum 5 cm proximal to the CD with a stapling device. 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 . 1 What is the CPT for laparoscopic cholecystectomy? ICD-10-PCS 0FT40ZZ is a specific/billable code that can be used to indicate a procedure. A valid algorithm which can be used in the presence of acute cholecystitis to decide pre- or intra-operatively the best approach is still lacking. The patient underwent a laparoscopic cholecystectomy, but the surgeon also did an open cholangiogram. 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, Laparoscopic, Cholangiogram Intraoperative with Laparoscopic Cholecystectomy, ** Cholecystectomy, Open, Cholangiogram Intraoperative with Open Cholecystectomy. The authors concluded that laparoscopic cholecystectomy can be performed as true outpatients within hours of completion of the procedure. Can both be billed? In this instance, the surgeons interpretation of the cholangiogram is separately payable as long as a separate radiology report is filed. A total of eight patients were admitted to the hospital following postanesthesia care, six of these eight patients were discharged on the first postoperative day. The edit includes a 0 indicator, meaning that no override is possible using modifier -59 (distinct procedural service). Tagged as: Current Procedural Terminology, surgery coding, Bulletin of the American College of Surgeons Surgeons should be aware that an unlisted procedure requires documentation that provides relevant information, including a proper definition/description of the nature, extent, and need for the procedure, and the time, effort, and equipment necessary to provide the service. 556 0 obj <> endobj It is a common treatment of symptomatic gallstones and other gallbladder conditions. You perform a laparoscopic cholecystectomy on a patient and as part of your . Biliary lithiasis is a global disorder affecting nearly 20% of the world's population, although most cases occur without symptoms. 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. The same policy also states that the interpretation that ultimately guides the further treatment of the patient (i.e., the surgeons) should be paid, although this can be a delicate issue between surgeons and radiologists. Divide the hepatocolic ligament to allow mobilization of the hepatic flexure. 47563 with cholangiography; and Modifiable lifestyle risk factors include obesity, high fat or high-cholesterol diet, and diabetes. People who have had gallbladder removal surgery should avoid certain foods, including: The incision and your abdominal muscles may ache, especially after long periods of standing. If the intended procedure is discontinued, code the procedure to the root operation performed. The second procedure is usually performed because the initial approach was unsuccessful in accomplishing the medically necessary service; those procedures are considered sequential procedures. If you had a laparoscopic surgery, you may feel pain from any carbon dioxide gas still in your belly. Close the skin using a running subcuticular absorbable stitch. In addition, gangrenous changes and initial dissection result in perforations and consequent bile spillage. If the time spent lysing the adhesions is significant (i.e., 25 percent or more of the total time of the operative session), the appropriate lap chole code should be billed with modifier -22 attached. What is the CPT code for a cholangiogram? CPT code 47562 describes a diagnostic laparoscopy and surgical removal of the gallbladder. Gallbladder stones could move into the common bile duct after gallbladder contraction, causing acute cholecystitis. Between May 2008 and April 2010, 3371 laparoscopic cholecystectomies were performed at Greenville Hospital System University Medical Center. Technical modifications to decrease injury rates have been suggested. Free market-loving, price-displaying, state-of-the-art, AAAHC accredited, doctor owned, multispecialty surgical facility in central OK.Liquid Media. HCFA policy, meanwhile, states that only one physician may be paid for performing radiological S&I. . eCollection 2021 Aug. Purzner RH, Ho KB, Al-Sukhni E, Jayaraman S. Can J Surg. 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. The ICD-10-PCS is a procedure classification published by the United States for 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! endstream endobj startxref Intraoperative complexity and risk factors associated with conversion to open surgery during laparoscopic cholecystectomy in eight hospitals in Mexico City. procedure converted to open procedure, to show the conversion to open procedure. The https:// ensures that you are connecting to the 2011-2023 Surgery Center of Oklahoma All rights reserved. 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. National Library of Medicine For inpatient claims, report the diagnosis code for laparoscopic cholecystectomy. Although the wRVUs for 47562 and 47563 do not reflect the RUC review of survey data and RUC recommendation, their work RVUs are correctly ranked. However, inflammation, adhesions, and anatomic difficulty continue to challenge the use and safety of this approach in a small number of patients. Find the trace of the plane in the given coordinate plane. 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. 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. The site is secure. 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. [emphasis added] The surgeon, increasingly concerned about proceeding under laparoscopic guidance only, converts to an open approach. Code History 2016 (effective 10/1/2015) : New code (first year of non-draft ICD-10-PCS) Removal of the gall bladder will allow the bile to flow directly into the small intestine from the liver. As the surgeon moves deeper (toward the cystic duct and artery), however, the patients anatomy becomes indiscernible due to a solid mass of inflammation. It appears that national coder websites and coder discussion boards have been providing incorrect coding guidance, which may represent the root cause of the coding confusion. If you find anything not as per policy. 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 2021 National Average Medicare physician payment rates have been calculated using a 2021 conversion factor of $34.8931. Index: In the Alphabetic Index, under Cholecystectomy, there are two choices: see Excision, Gallbladder (0FB4) and see Resection, Gallbladder (0FT4). Additionally, the CMDs may have looked at the CY2012 PFS where 47562 (Laparoscopy, surgical; cholecystectomy) and 47563 (Laparoscopy, surgical; cholecystectomy withcholangiography) were incorrectly ranked. At the very least, if the surgeons practice is audited, the payer may request a refund. What is the CPT code for cholecystectomy? Procedure: Laparoscopic cholecystectomy Procedure: Small-incision open cholecystectomy: Phase 2 Phase 3: Detailed Description: . The surgeon inflates the abdominal cavity with carbon dioxide to create a working space. 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. help the operating surgeon code the surgery as simple or difficult. Discontinued procedures . The Analysis of Risk Factors in the Conversion from Laparoscopic to Open Cholecystectomy. Thats why it is important to read the body of the operative note. For example, the ICD-10-PCS open endoscopic approach is defined as cutting through the skin or mucous membrane and any other body layers necessary to expose a body part, and introduction of instrumentation to reach and visualize the site of the procedure. A second example is the open with percutaneous endoscopic assistance approach defined as cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure, and entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to aid in the performance of the procedure.. He has been treated with multiple medications but continues to have exacerbations of his disease that are severe enough to require time off of work on a regular basis. The liver, pancreas, and gallbladder are the solid organs of the digestive system. The surgeon watches the monitor and performs the operation by manipulating the surgical instruments through the operating ports. A laparoscopic cholecystectomy may be converted to an open cholecystectomy. In this situation, only 47605 (cholecystecomy; with cholangiography) should be billed. Tip 1: Read the Entire Operative Report The willingness and ability of surgeons to convert to open cholecystectomy continues to be important to the safety of this operation. Second, the method used to perform most of the procedurevia laparoscopy or via a laparotomyestablishes the appropriate code to report. Bethesda, MD 20894, Web Policies If you read the top of the operative report, it may list laparoscopic cholecystectomy only, but the procedure notes in the operative report clearly state that a cholangiogram was performed, Elliott says. Note: While you may not be the provider responsible for obtaining prior authorization, as a condition of payment you will need to make sure that prior authorization has been obtained.Tufts Health Plan requires the use of an InterQual SmartSheet to obtain prior authorization for Cholecystectomies. Sometimes a lap chole must be converted to an open procedure due to intraoperative findings, such as inflammation or extremely extensive adhesions. What code do I report for a laparoscopic appendectomy for perforated appendicitis? The deadline to claim CME credit for the March issue is May 31, 2022. How to Market Your Business with Webinars? 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. Cholangiogram is the procedure including X-ray imaging with contrast material. It can be done either open (the way we've done it for over a hundred years with a long incision und . Different techniques have been described to reduce the incidence of this complication, and near-infrared . Nor is appending modifier -22 to the open procedure appropriate in the above scenario, Elliott warns. Code 74300 (cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation) can be billed with modifier -26 (professional component) appended. Before 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). Disclaimer. Epub 2022 Jan 26. 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). Ann Med Surg (Lond). by Surgery Center of Oklahoma | Jun 1, 2013. This is reflected in the relative value units assigned to each procedure: 47562, 18.17; 47563 19.59; 47564, 23.59. Epub 2009 May 27. Select Laparoscopic Cholecystectomy Procedures with and without Common Bile Duct Exploration (CBDE) . He documented both approaches and the laparoscopic approach took significant time before he had to convert to open. Besides, BDI can also generate significant legal issues in healthcare. Again, modifier -22 should be appended to indicate that significant additional work and time were required to perform the procedure. This study aims to evaluate the reasons for conversion of this operation in the current era of laparoscopic surgery. Laparoscopic cholecystectomy icd 10 procedure code. Use another thoracoabdominal stapler to close the remaining enterotomy and colotomy. Control of postoperative pain, nausea, and vomiting are important to successful same day discharge, and admission rates despite planned same day discharge are reported to be 1-39%; patients older than age 50 may be at increased risk for admission (Kasem, et al. 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. Additionally, by carefully reviewing the surgeons procedure notes, coders may uncover additional payment opportunities. Test us for free with a no obligation trial, get the pricing, and then decide if we are a good fit. prealgebra. 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. Because carriers dictate specific requirements for modifier -22, such claims should include a separate paragraph that describes the additional work involved, notes the additional time spent and explains (briefly, in simple terms) why the additional work was necessary. See the appropriate diagnosis codes below. (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. The surgeon may spend 45 minutes repairing the perforation but cannot bill the procedure because, according to HCFA guidelines, physicians may not bill separately for complications that arise during an operative session. When this occurs, HCFA coding guidelines clearly state that only the open procedure should be billed. Study with Quizlet and memorize flashcards containing terms like What is the implementation date of ICD-10-PCS? Laparoscopic subtotal cholecystectomy . Categories. How many RVU do you need for a cholecystectomy? A. January 1, 2014 B. January 1, 2015 C. October 1, 2016 D. October 1, 2015, What is the total number of characters in an ICD-10-PCS code? The small intestine has three parts. Federal government websites often end in .gov or .mil. 4 How painful is laparoscopic gallbladder surgery? Difficult Laparoscopic Cholecystectomy Predictors and its Significance: Our Experience. Cholangiography is often (but not always) performed when a gallbladder is removed to help the surgeon better determine the patients anatomy and to check for gallstones in the common bile duct, says Tray Dunaway, MD, FACS, a general surgeon and evaluation and management coding author in Camden, S.C. 3 With these . As long as you continue on and successfully complete the service, you bill that service only. Unauthorized use of these marks is strictly prohibited. *This response is based on the best information available as of 10/27/16. I code from the record, never by what doctors write at the beginning. We use cookies to ensure that we give you the best experience on our website. reported on a retrospective analysis of 130 consecutive patients that underwent laparoscopic cholecystectomy in an outpatient surgery unit. The different types of imaging that gastroenterologists order to detect cholecystitis are: Cholecystitis requires hospitalization. For example, the surgeon may: Clinical Documentation and Prior Authorization Required Tufts healh plan required authorization for below services. %PDF-1.6 % In certain circumstances, the procedure must be converted to open to safely complete the operation. hbbd``b`v ~ !$6Hl{ADH0j @I$$$Xl'@ !H A A,h)& S@,aK!#w Ghazal AH, Sorour MA, El-Riwini M, El-Bahrawy H. Int J Surg. Two codes differentiate an open appendectomy without rupture (44950) and with rupture (44960). Download the app via the Apple Store, Google Play, or Amazon. 47562 laparoscopy, surgical; cholecystectomy; Additional ports are opened inferior to the ribs at the epigastric, midclavicular, and anterior axillary positions. However, the key diagnostic method used today is imaging. Additionally, CPT code 47563 was reviewed in October 2010. 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. . Unfortunately, no. Robotic-assistance, hand-assistance, or minor incision for specimen extraction with or without extracorporeal work is still considered a laparoscopic procedure. For the Cy2013 PFS, these codes are correctly ranked. Hand off the resected specimen from the surgical field. Time to discharge after surgery for patients with acute cholecystitis, bile duct stones, or in patients converted to an open procedure should be determined on an individual basis. In this context, annotation back-references refer to codes that contain: "Present On Admission" is defined as present at the time the order for inpatient admission occurs conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA. The cholecystectomy code that includes the cholangiogram is 47563. Introduction. The .gov means its official. The decision is made to proceed with surgery to remove the involved segment of terminal ileum. All rights reserved. %%EOF This is the American ICD-10-CM version of, Z codes represent reasons for encounters. abandon the laparoscopic approach and perform an open procedure. This study aims to evaluate the reasons for conversion of this operation in the current era of laparoscopic surgery. For example, the surgeon may determine that the cholangiogram is normal after finding a normal anatomy with free flow of contrast into the duodenum and no filling defects in the common duct. See the appropriate diagnosis codes below. follow-up examination for medical surveillance after treatment (. Inpatient Choledocholithiasis Management: a Cost-Effectiveness Analysis of Management Algorithms. Cholecystitis or gallstone disease occurs when gallstones crystallize (cholelithiasis) and block the release of bile from the gallbladder. The design of the study allows wide inclusion criteria for participants . Once the mobilization is complete, remove the trocar in the right lower quadrant and enlarge the incision to allow for delivery of the involved terminal ileum and cecum out of the abdominal cavity. It helps people when gallstones cause inflammation, pain or infection. To begin the operation, the patient is placed in the supine position on the operating table and anesthetized. Laparoscopic cholecystectomy is a covered surgical procedure in which a diseased gall bladder is removed through the use of instruments introduced via cannulae, with vision of the operative field maintained by use of a high-resolution television camera-monitor system (video laparoscope). For this clinical scenario, report only the hernia repair code 49505 (see Table 4, page 44). 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. Compared to ICD-9, ICD-10 offers much greater specificity for reporting cholelithiasis with location, additional condition, nature of additional condition, and presence of obstruction: K80.0(calculus of gallbladder with acute cholecystitis), K80.1 (calculus of gallbladder and other cholecystitis), K80.2 (calculus of gallbladder without cholecystitis), K80.3 (calculus of bile duct with cholangitis), K80.4 (calculus of bile duct with cholecystis), K80.5 (calculus of bile duct without cholangitis or cholecystitis), K80.6 (calculus of gallbladder and bile duct with cholecystitis), CPT Codes for Cholecystectomy Removal of the Gall Bladder. An initial approach to a procedure may be followed at the same encounter by a second, usually more invasive approach. Laparoscopic cholecystectomy is the gold standard treatment for benign gallbladder pathologies. Modifier -53 should not be used if the surgeon successfully completes the cholecystectomy, even if another technique is used, Elliott says. A laparoscopic cholecystectomy may be converted to an open cholecystectomy. The cystic duct and the cystic artery are identified, clipped with tiny titanium clips and cut. In the case of a lap chole converted to an open procedure, an additional diagnosis code V64.4 (laparoscopic surgical procedure converted to open procedure) should be included to indicate that the switch occurred, according to the ICD-9-CM Coding Handbook. 2022 Oct-Dec;12(4):56-63. doi: 10.4103/jwas.jwas_162_22. How painful is laparoscopic gallbladder surgery? 8600 Rockville Pike J Gastrointest Surg. When you buy a model home do you get the furniture? Sometimes, a laparoscopic cholecystectomy will be converted to an open cholecystectomy for technical reasons or safety. 2017, and November 30, 2021. Verified. All the articles are getting from various resources. Laparoscopic cholecystectomy is minimally invasive surgery to remove the gallbladder. The camera illuminates the surgical field and sends a magnified image from inside the body to a video monitor, giving the surgeon a close-up view of the organs and tissues. FOIA The gallbladder fundus is identified, grasped, and retracted superiorly. What is the CPT for laparoscopic cholecystectomy? Some surgeons routinely include cholangiography (many surgeons have been trained to do so), whereas others may perform the service only for specific indications, such as an elevated liver function study, an ultrasound that shows an enlarged common bile duct or because the patient has a history of gallstone pancreatitis. Treatment for acute cholecystitis is removal of the gallbladder or cholecystectomy. Step 1. Close the defect in the mesentery using an absorbable running stitch, and then place the bowel back within the abdominal cavity. 633 N. Saint Clair St. Dont forget to add the appropriate diagnostic code to indicate the conversion. .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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Author Recent Posts John Verhovshek John Verhovshek, MA, CPC, is a contributing editor at AAPC. The progression of the acute disease can take different forms, from mild inflammation, treatable with oral antibiotics, to the most severe forms . These guidelines should be used as a companion document to the official version of the ICD-10-PCS as published on the CMS website. References Atiq-ur-Rehman, S., Hussain, S., Khan, M. Y., & Masood, U. In some situations, a general surgeon may receive additional reimbursement for a laparoscopic cholecystectomy (lap chole). If the surgeon performs a cholangiogram with no radiologist present and provides the supervision and interpretation (S&I). Hepatogastroenterology. 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 2001 includes the following lap chole procedures: The mortality rate for these patients was 0.7%. conversion of laparoscopic cholecystectomy; Am J . 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).

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