LCD/NCD Portal

NCD100.13

 

LAPAROSCOPIC CHOLECYSTECTOMY

 

 

Effective Date of this Version

11/18/1991

 

Benefit Category

• Inpatient Hospital Services.

• Outpatient Hospital Services Incident to a Physician's Service.

• Physicians' Services.

• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

 

Indications and Limitations of Coverage

• 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, use ICD-9-CM code 51.23, Laparoscopic cholecystectomy.

• For all other claims, use CPT codes:

o 49310 for laparoscopy, surgical; cholecystectomy (any method).

o 49311 for laparoscopy, surgical: cholecystectomy with cholangiography.

 

 

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