cpt code for laparoscopic cholecystectomy converted to open

Spending an extra 20 or 30 minutes is probably not enough, Elliott says, because fees are based on the average time it takes to perform the procedure. Divide the hepatocolic ligament to allow mobilization of the hepatic flexure. 3x + 4z = -2, xy. ICD-10-PCS Coding Demonstration of a Laparoscopy to Open Converted The edit includes a 0 indicator, meaning that no override is possible using modifier -59 (distinct procedural service). reported on a retrospective analysis of 130 consecutive patients that underwent laparoscopic cholecystectomy in an outpatient surgery unit. KarenZupko & Associates, Inc. 2023 | All Rights Reserved. Parmeggiani D, Cimmino G, Cerbone D, Avenia N, Ruggero R, Gubitosi A, Docimo G, Mordente S, Misso C, Parmeggiani U. Karim ST, Chakravarti S, Jain A, Patel G, Dey S. J West Afr Coll Surg. We will response ASAP. If the time spent lysing the adhesions is significant (i.e., 25 percent or more of the total time of the operative session), the appropriate lap chole code should be billed with modifier -22 attached. A retrospective review of medical records was undertaken to identify all laparoscopic converted to open cholecystectomy performed at a single center over a 2-year period. 11,17,24 These technical recommendations and proctoring of surgeons during their first LCs . All Rights Reserved to AMA. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. 2014 Jun;61(132):958-65. Second, the method used to perform most of the procedurevia laparoscopy or via a laparotomyestablishes the appropriate code to report. Coders have referenced each of these ICD-10-PCS approaches to claim that laparoscopic abdominal procedures that include a minor incision for hand-assistance laparoscopy (HAL) or for extraction or exteriorization of the bowel should be coded as an open procedure. What should I not eat with no gallbladder? Sometimes, a laparoscopic cholecystectomy will be converted to an open cholecystectomy for technical reasons or safety. Rangel-Olvera G, Alanis-Rivera B, Trejo-Suarez J, Garcia-Martin Del Campo JN, Beristain-Hernandez JL. The surgeon may spend 45 minutes repairing the perforation but cannot bill the procedure because, according to HCFA guidelines, physicians may not bill separately for complications that arise during an operative session. All rights reserved. Inpatient Choledocholithiasis Management: a Cost-Effectiveness Analysis of Management Algorithms. How do I report removal of a lipoma of the spermatic cord and repair of a reducible inguinal hernia performed at the same time, through the same incision? In 1999, Lillemoe, et al. government site. A . Unauthorized use of these marks is strictly prohibited. Additionally, the CMDs may have looked at the CY2012 PFS where 47562 (Laparoscopy, surgical; cholecystectomy) and 47563 (Laparoscopy, surgical; cholecystectomy withcholangiography) were incorrectly ranked. coding and reporting using the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS). Appendectomy or laparoscopic appendectomy CPT code(s): 44950, 44955, 44960, 44970 Cholecystectomy or laparoscopic cholecystectomy, Cholecystectomy or laparoscopic cholecystectomy CPT code(s): 47562, 47563, 47564, 47600, 47605, 47610, 47612, 47620. Bingener-Casey J, Richards ML, Strodel WE, Schwesinger WH, Sirinek KR. Enter a Melbet promo code and get a generous bonus, An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. Surgical procedures StatisticsThe goal of the surgical cross-over exhibits was to identify total volume, spending, price per procedure, and differences in cost across settings of care for procedures that can be performed either in hospital inpatient or hospital outpatient settings. In order to obtain prior authorization for procedure(s), choose appropriate InterQual SmartSheet(s) listed below. In addition, CPT code 47562, which had previously been reviewed in 1995 and 2005, was used as a stable reference service when valuing CPT code 47563. (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy. Code History 2016 (effective 10/1/2015) : New code (first year of non-draft ICD-10-PCS) However, only one code applies to laparoscopic appendectomy (44970), and it is used to report a laparoscopic appendectomy for either scenario; with rupture or without rupture. This is the American ICD-10-CM version of Z53.31 - other international versions of ICD-10 Z53.31 may differ. Two key points have been established. Resection is the root operation because the entire gallbladder was resected. by Surgery Center of Oklahoma | Jun 1, 2013. Description of procedure: Place trocars through the abdominal wall at the umbilicus, right lower quadrant, and lower midline. Biliary lithiasis is a global disorder affecting nearly 20% of the world's population, although most cases occur without symptoms. 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. Can both be billed? The second procedure is usually performed because the initial approach was unsuccessful in accomplishing the medically necessary service; those procedures are considered sequential procedures. Scenario #2. CPT and CodeManager are registered trademarks of the American Medical Association. When a cholangiogram is performed in conjunction with a lap chole and no radiologist is present, the surgeon will interpret the images on the fluoroscope to guide the procedure. You should report CPT code 44146 (see Table 1, page 43). This work is followed by either an extension of a trocar site incision or creation of a separate small incision for extraction of the specimen and/or extracorporeal creation of an anastomosis based on surgeon preference. The triangle is gently dissected to clear the peritoneal covering and obtain a view of the underlying structures. Going beyond just getting the job done, we can help create sustainable improvement as part of your medical billing team. For inpatient claims, report the diagnosis code for laparoscopic cholecystectomy. by Natalie Tornese | Last updated Mar 3, 2023 | Published on Jun 29, 2018 | Blog, Medical Coding. She is CPC certified with the American Academy of Professional Coders (AAPC). Warchaowski , uszczki E, Bartosiewicz A, Dere K, Warchaowska M, Oleksy , Stolarczyk A, Podlasek R. Int J Environ Res Public Health. Cholecystectomy is the surgical removal of the gallbladder. 633 N. Saint Clair St. Medical Billing Question and Answer Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] Full List, Internal Medical Billing Audit how to do, CPT CODE 47562, 47563, 47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY. Download the app via the Apple Store, Google Play, or Amazon. For the Cy2013 PFS, these codes are correctly ranked. It helps people when gallstones cause inflammation, pain or infection. 622 0 obj <>stream The gallbladder fundus is identified, grasped, and retracted superiorly. A scalpel is used to make a small incision at the umbilicus. One of the most common abdominal surgical procedures is cholecystectomy. Small-incision Open Cholecystectomy or Laparoscopic Cholecystectomy for hbbd``b`v ~ !$6Hl{ADH0j @I$$$Xl'@ !H A A,h)& S@,aK!#w Available at: www.cms.gov/Medicare/Coding/ICD10/2019-ICD-10-PCS.html. CPT code 47560 describes a diagnostic laparoscopy plus laparoscopic-guidance for percutaneous insertion of a needle or catheter into the liver parenchyma to access the biliary tree for injection of contrast and performance of trans-hepatic cholangiography. All the articles are getting from various resources. How painful is laparoscopic gallbladder surgery? In one cross-sectional study, the conversion from laparoscopic to open surgery for cholecystectomy was only 0.6% (Yuda Handaya et al., 2021). For example, the ICD-10-PCS open endoscopic approach is defined as cutting through the skin or mucous membrane and any other body layers necessary to expose a body part, and introduction of instrumentation to reach and visualize the site of the procedure. A second example is the open with percutaneous endoscopic assistance approach defined as cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure, and entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to aid in the performance of the procedure.. have to repair a bowel injury or deal with another complication; or The surgeon inflates the abdominal cavity with carbon dioxide to create a working space. First, an incision made either by extending a trocar site, at an alternative location (for example, midline), or for HAL does not constitute an open procedure. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. What is the ICD 10 code for laparoscopic cholecystectomy? Gallbladder adhesion degree as predictor of conversion surgery, common bile duct injury and resurgery in laparoscopic cholecystectomy: A cross-sectional study. Clinical Documentation and Prior Authorization Required Tufts healh plan required authorization for below services. Although the CPT descriptor includes the term colostomy, the Medicare physician fee schedule work relative value unit(RVU) for this code is based on creation of either a colostomy or an ileostomy. ICD-10-PCS Chapter 1 & 2 Test Flashcards | Quizlet They may inadvertently add things they didnt do or leave out things they did. To optimize reimbursement in these situations, surgeons and their coders must ensure that documentation is both accurate and complete. Disclaimer. Note: While you may not be the provider responsible for obtaining prior authorization, as a condition of payment you will need to make sure that prior authorization has been obtained.Tufts Health Plan requires the use of an InterQual SmartSheet to obtain prior authorization for Cholecystectomies. procedure converted to open procedure, to show the conversion to open procedure. CPT code 47560 has a 000-day global period and as a result there is a difference in work between it and codes 47562-47563, which both have 090- day global periods. About 20 million people in the USA (15% of the population) have gallstones, according to the World Gastroenterology Organization. For example, the surgeon may: However, inflammation, adhesions, and anatomic difficulty continue to challenge the use and safety of this approach in a small number of patients. 2023 ICD-10-CM Diagnosis Code Z53.31 - ICD10Data.com CPT Code: 47562, 47563 Cholecystectomy is the surgical removal of the gallbladder. Code 55520, Excision of lesion of spermatic cord (separate procedure),is a separate procedure. Coding tip: When a procedure that is designated as a separate procedure is carried out independently or considered to be unrelated or distinct from other procedures/services provided at that time, it may be reported by itself, or in addition to other procedures/services by appending modifier 59 to the specific separate procedure code to indicate that the procedure is not considered to be a component of another procedure, but is a distinct, independent procedure. If there is a low risk of complications, the surgery is usually done as an outpatient procedure. Single-step treatment of gall bladder and bile duct stones: a combined endoscopic-laparoscopic technique. We use cookies to ensure that we give you the best experience on our website. Appendectomy or laparoscopic appendectomy CPT code (s): 44950, 44955, 44960, 44970 Cholecystectomy or laparoscopic cholecystectomy. What is the CPT for laparoscopic cholecystectomy? Colectomy codes are identified as either open or laparoscopic. The laparoscope reveals that the area containing the gallbladder is severely inflamed and purulent. Medicare Contractor Medical Directors (CMDs) propose that CPT codes 47560, 47562, and 47563 are potentially misvalued because the more extensive code has lower work RVUs than the less extensive codes.4 The ACS disagrees and believes that the CMDs may have overlooked the fact that 47560 (Laparoscopy, surgical; with guided transhepatic cholangiography, without biopsy) has a 000-day global period. The primary treatment for gallstones that cause pain, inflammation, or infection is cholecystectomy or removal of the gallbladder. Six B. If you find anything not as per policy. In this invasive procedure, the technique of laparoscopy is used and gall bladder is removed by making 4 to 5 small incisions than a long cut. Question 12Question TCO 6 If a patient has a laparoscopic If the intended procedure is discontinued, code the procedure to the root operation performed. CPT Coding for Converting to an Open approach 8596 E. 101st Street, Suite HTulsa, OK 74133, CPC: Director of Revenue Cycle Management, CPC: Senior Solutions Manager: Practice and RCM, Outsource Strategies International. Robotic-assistance, hand-assistance, or minor incision for specimen extraction with or without extracorporeal work is still considered a laparoscopic procedure. Total spending includes insurer and enrollee payments for the facility portion of the surgical procedure; the physician portion billed on a separate professional claim is not included. Facilities, not physicians, report ICD-10-PCS codes, and these codes define various approaches that do not correspond to CPT coding (open, closed, percutaneous, laparoscopic). To a question on a laparoscopic biopsy of the liver is performed at the same time as laparoscopic cholecystectomy, the article advises: If these procedures were performed via an open approach, code 47600 (open cholecystectomy) would be reported with code 47001, Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure), or code 47100, Biopsy of liver, wedge, as appropriate.. CPT Code For Laparoscopic Cholecystectomy Converted To Open In most of the cases, laparoscopic cholecystectomy can be converted to an open cholecystectomy. Clipboard, Search History, and several other advanced features are temporarily unavailable. conversion of laparoscopic cholecystectomy; Am J . The CPT code for this combo procedure is 47563. Hospital policy usually dictates that anything sent back to the radiology department must generate a report signed by a hospital radiologist, even if S&I was already performed by the surgeon. A laparoscopic colectomy is performed with most of the procedure completed intracorporeally, including, but not limited to, a diagnostic laparoscopy, mobilization of the intestine, vascular ligation, and bowel transection. Other Policies and Guidelines may apply. If significant additional work or time is required to lyse adhesions, repair a complication or convert the procedure from laparoscopic to open, modifier -22 (unusual procedural services) can be appended to the appropriate code and additional payment claimed; or Sometimes a lap chole must be converted to an open procedure due to intraoperative findings, such as inflammation or extremely extensive adhesions. PDF 2021 Coding & Payment Quick Reference - Boston Scientific CPT code 47562 describes a diagnostic laparoscopy and surgical removal of the gallbladder. Although some surgeons try to bill both services by appending modifier -53 (discontinued procedure) to the lap chole with cholangiogram (47563, or 47562 if no cholangiogram was performed), this is incorrect because 47605 and 47563 describe different ways of performing the same service. The completed SmartSheet(s) must be sent to the applicable fax number listed above, according to Plan. Cholecystectomy, Laparoscopic Cholecystectomy, Laparoscopic, Cholangiogram Intraoperative with LaparoscopicCholecystectomy. For the "ICD-10 Coding--Bonnie Altus" playlist, go to:https://www.youtube.com/playlist?list=PLRfHZ9wXKs6dJTxMF8y08sxGupC5AAj_PBonnie Altus (MS,RHIA,CHPS) is . With a second grasper, the gallbladder infundibulum is retracted laterally to expose and open Calots Triangle (the area bound by the inferior border of the liver, cystic duct, and common hepatic duct). A lap chole involves removal of the gallbladder using a laparoscope, and may be performed with or without cholangiography. My doctor started a laparoscopic cholecystectomy that had . Evaluation of Preoperative Risk Factor for Converting Laparoscopic to Open Cholecystectomy: A Meta-Analysis. The surgeon initially works on the fundus of the gallbladder lysing adhesions and delineating anatomy and the approach appears to be correct. Before implement anything please do your own research. Close the skin using a running subcuticular absorbable stitch. calculus. Hepatogastroenterology. The mortality rate for these patients was 0.7%. Epub 2022 Jan 26. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy. Difficult Laparoscopic Cholecystectomy Predictors and its Significance: Our Experience. If a procedure is discontinued before any other root operation is performed, Antibiotics | Free Full-Text | Acute Cholecystitis from Biliary perform extensive lysis of adhesions; American Hospital Association ("AHA"). Cholangiogram is the procedure including X-ray imaging with contrast material. To begin the operation, the patient is placed in the supine position on the operating table and anesthetized. An official website of the United States government. In certain circumstances, the procedure must be converted to open to safely complete the operation. Answer: You will code an outpatient consultation with a 57 modifier for the evaluation and management (E & M) service. 2008). A valid algorithm which can be used in the presence of acute cholecystitis to decide pre- or intra-operatively the best approach is still lacking. This is the American ICD-10-CM version of, Z codes represent reasons for encounters. Verified. CPT Code: 47562, 47563 Cholecystectomy is the surgical removal of the gallbladder. This study aims to evaluate the reasons for conversion of this operation in the current era of laparoscopic surgery. Laparoscopic-to-open Surgery Coding - AAPC Knowledge Center A. Z53.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. To be clear, the trends in national coder discussions contradict the original descriptions and intent of laparoscopic colectomy procedures. The perforated bowel is not an error, says Terry Fletcher, BS, CPC, CCS-P, a coding and reimbursement specialist in Laguna Niguel, Calif. Rather, it should be viewed as an unfortunate side effect of lysing adhesions. It can be done either open (the way we've done it for over a hundred years with a long incision und . We will take care of your Medical Billing and Coding, Dental Billing, Insurance Verification and Prior Authorization requirements efficiently. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Thats why it is important to read the body of the operative note. Then close the fascial defect in two layers and insufflate the abdomen again to irrigate and inspect. 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). %%EOF Only the CPT code for one of the services, generally the more invasive service, should be reported. ICD-10 Codes for Gallstones (Cholelithiasis). A lipoma or preperitoneal fat that is within the hernia sac or part of the hernia repair would not be separately reported. Conversion to open cholecystectomy . This pain may last for a few days. Unable to load your collection due to an error, Unable to load your delegates due to an error. j!9[",ge`Ze`@ q/= Partnering with an experienced medical coding outsourcing company can ensure accurate reporting of gastroenterology procedures. Post-cholecystectomy syndrome (PCS) is the term used to describe the persistence of biliary colic or right upper quadrant abdominal pain with a variety of gastrointestinal symptoms, which are similar to the features experienced by an individual before cholecystectomy. In all three situations, no additional codes may be billed. In addition, gangrenous changes and initial dissection result in perforations and consequent bile spillage. This is reflected in the relative value units assigned to each procedure: 47562, 18.17; 47563 19.59; 47564, 23.59. How many RVU do you need for a cholecystectomy? In this situation, only 47605 (cholecystecomy; with cholangiography) should be billed. FOIA Note: As of October 1, 1996, laparoscopic partial cholecystectomy is coded to 51.24 and other partial cholecystectomy is coded to 51.21. Surgical Modifiers: How Do They Impact Reimbursement? Tip 3: Bill S&I If a Radiologist Isnt Present Note: If the patient is brought back to the operating room for repair of the complication, modifier -78 (return to the operating room for a related procedure during the postoperative period) should be attached to the appropriate procedure code. Visualize and protect the duodenum and right ureter during this mobilization. Occasionally a lap chole requires significant additional effort and time than routinely necessary. 2023 ICD-10-PCS Procedure Code 0FT40ZZ - ICD10Data.com 47562 Laparoscopy, surgical; cholecystectomy47563 Laparoscopy, surgical; cholecystectomy with cholangiography47564 Laparoscopy, surgical; cholecystectomy with exploration of common duct. The deadline to claim CME credit for the March issue is May 31, 2022. A review of published data from the previous two decades was also conducted for comparison of contemporary versus historical reasons for intraoperative conversion. When this occurs, HCFA coding guidelines clearly state that only the open procedure should be billed. 47563 with cholangiography; and (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury. Surg Endosc. If this same procedure was performed laparoscopically, the correct code to report would be 44208,Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy. Listing of a code in this guideline does not imply that the service described by the code is a covered or non-covered health service. 23 These include proper angulation of the cystic duct and the CBD during initial dissection, use of an angled laparoscope, and a lowered threshold for conversion to an open procedure. Please reach out and we would do the investigation and remove the article. Accomplish the anastomosis between the ileum and the remaining ascending colon by stapling with a gastrointestinal anastomosis stapler to join the two limbs of bowel. Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones and inflammation of the gallbladder unless there are contraindications to the laparoscopic approach. 2006). Epub 2022 Nov 23. The design of the study allows wide inclusion criteria for participants . ICD-10-PCS Description 5123 LAPAROSCOPIC CHOLE 0FT44ZZ Resection of Gallbladder, Percutaneous Endoscopic Approach Discharges, among cases meeting the inclusion and exclusion rules for the denominator, with any-listed ICD-9-CM or ICD-10-PCS procedure codes for laparoscopic cholecystectomy. Note: If the surgeon must repair a bowel injured by another physician, the procedure should be billed 44602 (suture of small intestine [enterorrhaphy] for perforated ulcer, diverticulum, wound, injury or rupture; single perforation), 44603 (. An example of this situation is a failed laparoscopic cholecystectomy, followed by an open cholecystectomy at the same session. Note: The lap-to-open conversion does not affect the primary diagnosis code, and V64.4 should be used only as a secondary diagnosis. Cpt Code 47562, 47563, 47564 - Laparoscopy, Surgical; Cholecystectomy For example, cholangiograms are frequently performed in conjunction with cholecystectomies (both laparoscopic and open), but occasionally the former procedure is not listed at the top of the operative report. Only the completed surgical procedure may be reported. Reasons for conversion from laparoscopic to open cholecystectomy: a 10-year review. This is reflected in the relative value units assigned to each procedure: 47562, 18.17; 47563 19.59; 47564, 23.59. official website and that any information you provide is encrypted The different types of imaging that gastroenterologists order to detect cholecystitis are: Cholecystitis requires hospitalization. CPT Code For Laparoscopic Cholecystectomy - PeekaPoo - S In this situation, appending modifier -22 to the open cholecystectomy code may be appropriate because the patients condition required more time and effort. An initial approach to a procedure may be followed at the same encounter by a second, usually more invasive approach. Let's ra, With the large amounts of clinical documentation a, Arterial embolization is a minimally-invasive proc, Need professional support to meet those medical bi, February is observed as American Heart Month, Streamline the billing process and prevent claim d, Cracking the Code: Understanding CDT Codes for Dental Bridges, Dental Billing Codes for Reporting Osseous Surgery, K80.00 (calculus of gallbladder with acute cholecystitis without obstruction, K80.01 (calculus of gallbladder with acute cholecystitis with obstruction, K80.10 (calculus of gallbladder with chronic cholecystitis without obstruction), K80.11 (calculus of gallbladder with chronic cholecystitis with obstruction), K80.12 (calculus of gallbladder with acute and chronic cholecystitis without obstruction), K80.13 (calculus of gallbladder with acute and chronic cholecystitis with obstruction), K80.18 (calculus of gallbladder with other cholecystitis without obstruction), K80.19 (calculus of gallbladder with other cholecystitis with obstruction), K80.20 (calculus of gallbladder without cholecystitis without obstruction), K80.21 (calculus of gallbladder without cholecystitis with obstruction), K80.30 (calculus of bile duct with cholangitis, unspecified, without obstruction, K80.31 (calculus of bile duct with cholangitis, unspecified, with obstruction), K80.32 (calculus of bile duct with cholangitis, without obstruction), K80.33 (calculus of bile duct with cholangitis, with obstruction), K80.34 (calculus of bile duct with chronic cholangitis, without obstruction), K80.35 (calculus of bile duct with chronic cholangitis, with obstruction), K80.36 (calculus of bile duct with acute and chronic cholangitis, without obstruction), K80.37 (calculus of bile duct with acute and chronic cholangitis, with obstruction), K80.40 (calculus of bile duct with cholecystitis, unspsecified without obstruction), K80.41 (calculus of bile duct with cholecystitis, unspecified, with obstruction), K80.42 (calculus of bile duct with acute cholecystitis without obstruction), K80.43 (calculus of bile duct with acute cholecystitis with obstruction), K80.44 (calculus of bile duct with chronic cholecystitis without obstruction), K80.45 (calculus of bile duct with chronic cholecystitis with obstruction), K80.46 (calculus of bile duct with acute and chronic cholecystitis without obstruction), K80.47 (calculus of bile duct with acute and chronic cholecystitis with obstruction), K80.50 (calculus of bile duct without cholangitis or cholecystitis without obstruction), K80.51 (calculus of bile duct without cholangitis or cholecystitis with obstruction), K80.60 (calculus of gallbladder and bile duct with cholecystitis, unspecified, without obstruction), K80.61 (calculus of gallbladder and bile duct with cholecystitis, unspecified, with obstruction), K80.62 (calculus of gallbladder and bile duct with acute cholecystitis without obstruction), K80.63 (calculus of gallbladder and bile duct with acute cholecystitis with obstruction), K80.64 (calculus of gallbladder and bile duct with chronic cholecystitis without obstruction), K80.65 (calculus of gallbladder and bile duct with chronic cholecystitis with obstruction), K80.66 (calculus of gallbladder and bile duct with acute and chronic cholecystitis without obstruction), K80.67 (calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction), K80.7 (calculus of gallbladder and bile duct without cholecystitis), K80.70 (calculus of gallbladder and bile duct without cholecystitis without obstruction), K80.71 (calculus of gallbladder and bile duct without cholecystitis with obstruction), K80.80 (other cholelithiasis without obstruction), K80.81 other cholelithiasis with obstruction), K81.2 (acute cholecystitis with chronic cholecystitis), 47562 (laparoscopic cholecystectomy without cholangiography), 47563 (laparoscopic cholecystectomy with cholangiography), 47564 (laparoscopic cholecystectomy with exploration of the common bile duct), 47600 (cholecystectomy without cholangiography), 47605 (cholecystectomy with cholangiography), 47610 (cholecystectomy with exploration of the common bile duct), 47612 (cholecystectomy with exploration of common bile duct; with choledochoenterostomy), 47620 (cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography).

cpt code for laparoscopic cholecystectomy converted to open 2023