Our surgeon began performing “single incision surgery,” and she wants to know if we should report this with an unlisted CPT code or if adding a modifier 22 to the CPT code is correct. As an example, the surgeon just dictated this as a laparoscopic choleyctectomy procedure.
Answer:
The number of incisions and the length of the incisions do not affect the coding of the case. For example, MIS, or Minimal Incision Surgery has been around for many years, and the smaller incisions do not change the reporting of the procedure. In your scenario, report the appropriate cholecystectomy code. Do not append a modifier 22, unless there were other extenuating circumstances that significantly increased the complexity of the procedure.
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