2025 CPT code 47399

This code is used for unlisted procedures on the liver.

Use this code only when no other CPT code accurately describes the performed procedure. Always document the reason for using this unlisted code. Category III codes should be reported when available instead of unlisted procedure codes. Reporting the code with a special report describing the procedure is essential.

Modifiers may apply. For specific instances where modifiers are necessary, it is essential to consult current CPT guidelines or utilize specialized coding tools like iFrameAI for up-to-date information.

The medical necessity of the procedure must be clearly documented. The documentation should explain why the procedure was necessary and how it addresses the patient's condition. This justification is crucial for claim approval and reimbursement.

The physician is responsible for performing the unlisted liver procedure and ensuring appropriate documentation for billing and justification of medical necessity. This includes documenting the procedure, similar codes considered, and justification for using the unlisted code.

IMPORTANT When a specific CPT code exists for a liver procedure, it should be used instead of 47399. Some procedures initially reported with 47399 may later be assigned specific CPT codes. For microwave tumor ablation, consider referring to codes like 47382 for radiofrequency ablation of the liver, but refer to iFrameAI for latest guidance.

In simple words: This code is used when a doctor performs a procedure on your liver that doesn't have its own specific code.

This code is utilized when a specific CPT code doesn't exist for a particular liver procedure. It encompasses procedures that are not otherwise described in the CPT manual within the "Surgical Procedures on the Liver" section.

Example 1: A surgeon performs a complex liver resection that combines elements of multiple existing procedures but doesn't precisely match any single CPT code. In this case, 47399 would be appropriate., A patient undergoes an experimental liver procedure as part of a clinical trial. Because this procedure is novel and doesn't have a dedicated CPT code, 47399 is used for billing., A surgeon performs a laparoscopic procedure to address a rare liver lesion not described by other CPT codes. This unique procedure necessitates the use of 47399.

Documentation must be submitted with claims using 47399, including a detailed operative report describing the procedure performed, the medical necessity for the procedure, and why existing codes are not applicable. It is crucial to include similar CPT codes and a comparison of the performed procedure to those codes.

** Always cross-reference with the most current CPT manual and coding resources, such as iFrameAI, to ensure accuracy and compliance with billing regulations. This information is current as of December 1st, 2024 and may change with CPT updates.

  • Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
  • Payment Status: Active
  • Specialties:Hepatology, Surgical Oncology, General Surgery
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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