Unlisted laparoscopic procedure on the bladder

Description

This code is designated for reporting laparoscopic procedures involving the bladder that do not have a specific CPT code. It allows for appropriate documentation and billing of unique or rare laparoscopic interventions in urology.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

$5,834.36

Calculation:

x=$5,834.36

Patient Copayment / Coinsurance

$1,166.88

Calculation breakdown:

Minimum (20% of rate)$1,166.88

Top Modifiers

Graph View

List View

HCPCS/CPT GCServices performed by a resident under the supervision of a teaching physician(22.3%)

HCPCS/CPT ASServices by physician assistant, nurse practitioner, or clinical nurse specialist at surgery(14.77%)

HCPCS/CPT 80Assistant surgeon services during surgical procedures(10.37%)

HCPCS/CPT 51Multiple procedures performed by the same provider(7.39%)

HCPCS/CPT 62Two surgeons performing distinct parts of a procedure(5.82%)

HCPCS/CPT 82Assistant surgeon when qualified resident surgeon is unavailable(5.54%)

HCPCS/CPT 22Increased procedural services due to unusual complexity(5.4%)

HCPCS/CPT 79Unrelated procedure by the same physician during the postoperative period(2.56%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(2.41%)

HCPCS/CPT 58Staged or related procedure by the same physician during postoperative period(1.85%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)