Wiki laparoscopic liver biopsy

[swiedner7]

I know we're suppose to use the unlisted code 47379 for this procedure, but does anyone know how to actually to get paid. Even though I send the op report and a letter I get denials that there is no allowable for this code. We're dealing with mostly Medicare and Medi-cal HMO's.

 

[mjewett]

I usually bill the open code with modifier 52. I type a note on the claim that it is reduced because was performed laparoscopic not open. You can even state what RVU's it should be compared to.

We get paid this way. Hope this helps.