Robotic surgical system usage during surgical procedures

Description

This code is used to report the utilization of a robotic surgical system in conjunction with surgical procedures. It must be billed separately in addition to the primary procedure code to ensure accurate reimbursement and documentation of the robotic assistance provided.

Top Modifiers

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HCPCS/CPT GCServices performed by a resident under the supervision of a teaching physician(21.52%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(4.51%)

HCPCS/CPT 51Multiple procedures performed by the same provider(4.3%)

HCPCS/CPT Q1Routine clinical service in an approved clinical research study(3.28%)

HCPCS/CPT RTRight side procedure modifier(2.87%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(2.66%)

HCPCS/CPT LTModifier for procedures performed on the left side of the body(2.25%)

HCPCS/CPT CRCatastrophe or disaster-related service modifier(2.25%)

HCPCS/CPT 58Staged or related procedure by the same physician during postoperative period(1.64%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(1.23%)

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)
HCPCS Quarterly Update, 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)