About this policy
CMS National Coverage Determination | ncd_id=116 | manual_section=100.13 | coverage_level_code=1 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
Laparoscopic cholecystectomy is a covered surgical procedure in which a diseased gall bladder is removed through the use of instruments introduced via cannulae, with vision of the operative field maintained by use of a high-resolution television camera-monitor system (video laparoscope). For inpatient claims, report the diagnosis code for laparoscopic cholecystectomy. For all other claims, report the appropriate CPT code for laparoscopy, surgical; cholecystectomy (any method), and the appropriate CPT code for laparoscopy, surgical: cholecystectomy with cholangiography.
Documentation requirements
Revision History: 04/1992 - Corrected CPT and ICD-9-CM codes. Effective date 11/18/1991. (TN 58) 11/1991 - Provided coverage for removal of gall bladder. Effective date 11/18/1991. (TN 54) Benefit Categories: 35 - Inpatient Hospital Services; 46 - Outpatient Hospital Services Incident to a Physician's Service; 52 - Physicians' Services Transmittal: transmittal_number=58 | transmittal_issue_date=1992-04-01
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.