trinalankford
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Skin incision is made in the midline just below the umbilicus, carried down through the peritoneum. A pursestring was placed around the fascial opening to be tied later. The disposable cannula was then placed in this wound. The abdomen was insufflated. The remaining 3 cannulae were placed. The patient was placed in slightly head elevated, left lateral decubitus position. Gallbladder was identified, grasped with a clamp, and traction applied laterally. Hartmann pouch was identified, grasped with a clamp, and traction applied laterally. This maneuver facilitated identification of the cystic duct and artery. Both were dissected out of the hepatoduodenal ligament onto the point of contact with the gallbladder. The cystic artery was ligated and transected. The cystic duct was then doubly ligated and transected. The gallbladder was taken off the bed using electrocautery with minimal bleeding and only a small amount of shed bile from the puncture wound. Incidentally noted was a 1 cm irregular nodule on the edge of the right lobe of the liver, suspicious for endometriosis. A second similar lesion was located nearby on omentum. The liver lesion was biosied with cup forceps. The abdomen was then irrigated copiously...
My question....This is not a percutaneous liver biopsy, so I can't use 47001, so what is my add-on code for this procedure? It was done with cup forceps.
Thank you!
My question....This is not a percutaneous liver biopsy, so I can't use 47001, so what is my add-on code for this procedure? It was done with cup forceps.
Thank you!