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  • Authorization For Laparoscopic Cholecystectomy 577223 Hartford Hospital Consent Forms - Harthosp

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*6816* 6816 Authorization for LAPAROSCOPIC CHOLECYSTECTOMY Patients Name: I hereby authorize Dr. to perform the following surgery and/or special procedure/treatment: LAPAROSCOPIC CHOLECYSTECTOMY I.

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NCD - Laparoscopic Cholecystectomy (100.13)

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.

Some indications for laparoscopic and open cholecystectomy include gallbladder polyps, symptomatic and acalculous cholelithiasis, porcelain gallbladder, and asymptomatic cholelithiasis in patients who are at increased risk for gallbladder carcinoma or gallstone complications.

Georgia Subscriber Answer: The correct coding for this procedure is 47562 (Laparoscopy, surgical; cholecystectomy).

without CC/MCC $8,952 Note: Laparoscopic cholecystectomy procedures, when performed with common bile duct exploration (CBDE) typically map to MS-DRGs 411-413. Laparoscopic cholecystectomy procedures without common bile duct exploration (CBDE) typically map to MS-DRGs 417-419.

Your doctor may recommend a cholecystectomy if you have: Gallstones in the gallbladder (cholelithiasis) Gallstones in the bile duct (choledocholithiasis) Gallbladder inflammation (cholecystitis)

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232