Laparotomy Cpt Code
exploratory laparotomy cpt code, laparoscopy cpt code, myomectomy cpt cod, lysis of adhesions cpt code, hysterectomy cpt code, ileostomy cpt code, colostomy cpt code, colectomy cpt code Endoscopic, laparoscopic, and thoracoscopic CPT codes for which there are CPT codes for the corresponding open surgical procedure are summarized below. Not included are those CPT codes describing endoscopic diagnostic procedures and those describing arthroscopic procedures, with the exception of endoscopic carpal tunnel release and endoscopic plantar fasciotomy. The following table correlates the laparoscopic CPT code with the corresponding open procedure.
Laparoscopic Surgical (i.e., non-diagnostic) CPT Codes
Laparoscopic CPT Codes CPT Code Corresponding Open Procedure
38120: splenectomy
38100: splenectomy
38129: unlisted laparoscopy procedure, spleen
38570: laparoscopic retroperitoneal lymph node sampling
38780: retroperitoneal transabdominal lymphadenectomy
38571: laparoscopic bilateral total pelvic lymphadenectomy
38770: pelvic lymphadenectomy
38572: laparoscopic bilateral total pelvic lymphadenectomy with peri-aortic lymph node sampling
38780: retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes
38589: Unlisted laparoscopy procedure, lymphatic system
43280: laparoscopic esophagogastric fundoplication
43324: esophagogastric fundoplasty
43279: laparoscopic esophagomyotomy with fundoplasty (Heller myotomy)
43330: Esophagomyotomy (Heller type); abdominal approach
43289: Unlisted laparoscopy procedure, esophagus
43651-52: laparoscopic transsection of vagal nerves, truncal or selective, respectively
43640-43641: truncal or highly selective vagotomy, respectively
43653: laparoscopic gastrostomy, without construction of gastric tube No identical CPT code;
43500 (gastrostomy; with exploration may be the closest)
43653: laparoscopic gastrostomy, temporary 43830: gastrostomy, temporary
43659: Unlisted laparoscopy procedure, stomach
44200: laparoscopic enterolysis
44005: enterolysis
44201: laparoscopic jejunostomy
44310: ileostomy or jejunostomy, non-tube
44202: laparoscopic intestinal resection, with anastomosis
44203: each additional small intestine resection
44204: laparoscopic colectomy, partial, with anastomosis
44140-44121: Colectomy partial, with anastomosis or colostomy, respectively
44205: laparoscopic colectomy, partial, with removal of terminal ileum with ileocolostomy 44160: Colectomy, partial, with removal of terminal ileum with ileocolostomy
44206: laparoscopic colectomy, Hartmann-type procedure
44143: Colectomy, partial, Hartmann-type procedure
44207: laparoscopic colectomy, low pelvic anastomosis
44145: Colectomy, with low pelvic anastomosis
44208: laparoscopic colectomy, partial, with coloproctostomy
44146: Colectomy, partial, with coloproctostomy
44210: laparoscopic colectomy, total abdominal, without proctectomy
44150: Colectomy, total abdominal, without proctectomy
44211: laparoscopic colectomy, total abdominal, with proctectomy with ileoanal anastomosis, creation of ileal reservoir, with loop ileostomy, with or without rectal mucosectomy
44152-44153: Colectomy, total abdominal, with proctectomy with ileoanal anastomosis, creation of ileal reservoir, with loop ileostomy, with or without rectal mucosectomy
44212: laparoscopic colectomy, total abdominal, with proctectomy with ileoanal anastomosis, creation of ileal reservoir, with loop ileostomy, with or without rectal mucosectomy
44155: Colectomy, total abdominal, with proctectomy with ileoanal anastomosis, creation of ileal reservoir, with loop ileostomy, with or without rectal mucosectomy
44238: Unlisted laparoscopy procedure, intestine (except rectum)
44239 Unlisted laparoscopy procedure, rectum
44970: laparoscopy, surgical, appendectomy
44950-60: appendectomy, as separate procedure, or for ruptured appendix
44979: Unlisted laparoscopy procedure, appendix
47370-71: laparoscopy, surgical ablation of one or more liver tumor(s) with radiofrequency or cryosurgery, respectively*
47380-82: Ablation open, of one or more liver tumors, radiofrequency or crysurgery, respectively*
47382: Ablation, one or more liver tumors, percutaneous, radiofrequency*
*Radiofrequency and cryosurgical ablation of liver tumors considered investigational, when performed via an open procedure, laparoscopically or percutaneously. See policy No. 7.01.75.
47560-61: laparoscopy, surgical; with guided transhepatic cholangiography, without or with biopsy, respectively 47500: injection procedure for percutaneous transhepatic cholangiography
74300: cholangiography; intraoperative with radiological supervision and interpretation
74320: cholangiography, percutaneous, transhepatic, radiological supervision and interpretation
47562-64: laparoscopic cholecystectomy; any method, with cholangiography, or exploration of the common duct, respectively 47600-47610: cholecystectomy with cholangiography or exploration of the common bile duct, respectively
47570: laparoscopic cholecystoenterostomy 47720: cholecystoenterostomy
47579: unlisted laparoscopy procedure, biliary system
49320: laparoscopy, abdomen, peritoneum and omentum, diagnostic
49000: exploratory laparotomy, exploratory celiotomy
49321: laparoscopic biopsy of biliary system variety of CPT codes corresponding to biopsy or aspiration of specific organs or tissue
49322: laparoscopic aspiration of cavity or cyst various CPT codes describing cysts in various locations, i.e., pancreas (48510), liver (47010), ovary (58805)
49323: with drainage of lymphocele to peritoneal cavity
49062; drainage of extraperitoneal lymphocele to peritoneal cavity, open
49329; Unlisted laparoscopic procedure, abdomen, peritoneum and omentum
49652: Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible (new 2009)
49568: Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection
49653: ; incarcerated or strangulated (new 2009)
49654: Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible (new 2009)
49655: ; incarcerated or strangulated (new 2009)
49656: Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible (new 2009)
49657: ; incarcerated or strangulated (new 2009)
49650-51: laparoscopic repair of initial, recurrent inguinal hernia, respectively
49495-49525: CPT codes vary according to patient age, initial, recurrent, or incarcerated hernia
49659: Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy
50541: laparoscopic ablation of renal cysts No exact corresponding open procedure, but CPT code 50280 (Excision or unroofing of cysts of kidney)
50542: laparoscopic ablation of renal mass lesion
50220-50240 nephrectomy code range
50543: laparoscopic partial nephrectomy
50240: nephrectomy, partial
50544: laparoscopic pyeloplasty
50400; pyeloplasty
50545: laparoscopic radical nephrectomy
50230:nephrectomy, radical
50546: laparoscopic nephrectomy
50220; nephrectomy
50547: donor nephrectomy from living donor
50300; donor nephrectomy
50548: laparoscopically assisted nephroureterectomy
50220; nephrectomy
50549: unlisted laparoscopic produce, renal
50945: laparoscopy, surgical ureterolithotomy 50610-50630; ureterolithotomy, various locations
50947: laparoscopic ureteroneocystostomy with csytoscopy and ureteral stent placement There is no CPT code that describes open ureteroneocystostomy specifically in conjunction with stent placement
50948: laparoscopic ureteroneocystostomy without cystoscopy and stent placement
50780: ureteroneocystostomy
50949: Unlisted laparoscopy procedure, ureter
51990: laparoscopic urethral suspension for stress incontinence
51840: anterior vesicourethropexy, or urethropexy; simple
51992: laparoscopic sling operation for stress incontinence
57288; sling operation for stress incontinence
54690: laparoscopic orchiectomy
54520: simple orchiectomy
54692: laparoscopic orchiopexy for intra-abdominal testis
54640-54650; orchiopexy
54699: unlisted laparoscopy procedure, testis
55550: laparoscopic ligation of spermatic veins for varicocele 55530-55535: excision of varicocele
55559: unlisted laparoscopy procedure; spermatic cord
58545-46: Laparoscopy, surgical, myomectomy, excision, less than or greater than 250 gm, respectively 58140, 58146: Surgical myomectomy, abdominal approach, less than or greater than 250 gm, respectively
58550-52: laparoscopic vaginal hysterectomy for uterus 250 gm or less with or without removal of tube and/or ovary (addressed in policy 7.01.57)
58553-53: laparoscopic vaginal hysterectomy for uterus weighing greater than 250 gm with or without removal of tube and/or ovary (addressed in policy 7.01.57)
58260-58262: Vaginal hysterectomy with or without removal of tube(s) and ovary(s)
55866: laparoscopy, surgical prostatectomy, retropubic radical 55840: prostatectomy, retropubic radical
58578: unlisted laparoscopy procedure, uterus
58660: laparoscopic lysis of adhesion 58740: lysis of adhesion
58661: laparoscopic removal of adnexal structure (partial or total oophorectomy and/or salpingectomy) 58940: total or partial oophorectomy
58700: complete or partial salpingectomy
58662: laparoscopic fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method 49200-49201: excision or destruction by any method of intra-abdominal or retroperitoneal tumors or cysts or endometriomas
58670-71: laparoscopic fulguration of oviducts 58600-58615: ligation or transsection of fallopian tubes
58673: laparoscopic salpingostomy
58770: salpingostomy
58672: laparoscopic fimbrioplasty
58760: fimbrioplasty
58679: unlisted laparoscopy procedure, oviduct, ovary
59898: unlisted laparoscopy procedure, maternity care and delivery
60650: laparoscopic adrenalectomy
60540: adrenalectomy
60659: unlisted laparoscopic procedure, endocrine system
The following table summarizes CPT codes for endoscopic orthopedic procedures and thoracoscopic procedures with the CPT code for the corresponding open procedure.
Endoscopic/Thoracoscopic CPT Codes CPT Code Corresponding Open Procedure
Endoscopic Orthopedic Procedures
29848: arthroscopic release of carpal tunnel ligament
64721: neuroplasty of median nerve at carpal tunnel
29893: endoscopic plantar fasciotomy
28008: fasciotomy, foot and/or toe
Thoracoscopic Procedures
32601-32606: Thoracoscopy, diagnostic, with and without biopsy of a variety of structures
32035: Thoractomy, limited for biopsy of lung or pleura
32650: pleurodesis
32005: chemical pleurodesis
32651-2: partial or total pleural decortication, respectively 32320: decortication and parietal pleurectomy
32653: removal of intrapleural foreign body 32150 removal of intrapleural foreign body
32654: control of traumatic hemorrhage 32110: control of traumatic hemorrhage
32655: excision-plication of bullae 32141: excision-plication of bullae
32656: parietal pleurectomy 32310: parietal pleurectomy
32657: wedge resection 32500: wedge resection
32658: removal of clot or foreign body from pericardial sac
33020: pericardiotomy for removal of clot or foreign body
32659: creation of pericardial window, or partial resection of pericardial sac for drainage
33025: creation of pericardial window or partial resection for drainage
32660: total pericardiectomy 33030: subtotal or complete pericardiectomy
32661: excision of pericardial cyst, tumor, mass
33050: excision of pericardial cyst or tumor
32662: excision of mediastinal mass
39220: excision of mediastinal tumor
32663: lobectomy, total or segmental
324800-32484: describes lobectomy procedures
32664: thoracic sympathectomy 64809: sympathectomy, thoracolumbar
32665: esophagomyotomy 43331: esophagomyotomy; thoracic approach
Policy
The endoscopic procedures listed above may be considered medically necessary as an alternative to the corresponding open surgical procedures with the exception of laparoscopic radiofrequency or cryosurgical ablation of liver tumors. These procedures are considered separately in policy No. 7.01.75.
Policy Guidelines
A listing of patient selection criteria for each laparoscopic / thoracoscopic / arthroscopic / endoscopic procedure is beyond the scope of this policy. However, in general, candidates for such an endoscopic procedure should meet patient selection criteria for the corresponding open procedure; endoscopic procedures should not be considered an alternative to appropriate medical management. This may be of particular concern in laparoscopic fundoplication and endoscopic plantar fasciotomy when proposed before an adequate trial of medical management.
Benefit Application
BlueCard/National Account Issues Physicians may request an increased level of reimbursement compared to the corresponding open procedure, based on the increased operating room (OR) time and the additional training and expertise required to perform endoscopic surgery. However, the increased OR time may be compensated for by the decreased hospitalization and follow-up period. Each plan should consider whether to treat reimbursement of endoscopic, laparoscopic, or arthroscopic procedures differently than the corresponding open procedures.
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