How To Use CPT Code 47362

CPT 47362 describes the management of liver hemorrhage by re-exploration of a hepatic wound for the removal of packing. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 47362?

CPT 47362 can be used to describe the procedure performed by a healthcare provider to manage liver hemorrhage. In this procedure, the provider enters the prior incision created to control the liver hemorrhage, removes the clots and packing, and checks for any bleeding.

2. Official Description

The official description of CPT code 47362 is: ‘Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing.’

3. Procedure

1. The healthcare provider opens the prior incision used for the procedure to control the liver hemorrhage.
2. Clots present are removed using lavage.
3. Bleeding at the site is controlled.
4. Packing placed to control bleeding at the previous surgery is removed.
5. Hemostasis is attained.
6. The incision is closed with sutures in layers.

4. Qualifying circumstances

This procedure is performed when a patient has a liver hemorrhage that requires management. The provider must be careful not to aggravate the hemorrhage during the procedure. The patient must be appropriately prepped and anesthetized for the procedure.

5. When to use CPT code 47362

CPT code 47362 should be used when a healthcare provider performs the re-exploration of a hepatic wound for the removal of packing to manage liver hemorrhage. It is important to review all codes from 47350 to 47362 before choosing the final code for liver hemorrhage management.

6. Documentation requirements

To support a claim for CPT 47362, the healthcare provider must document the following information:

• Patient’s diagnosis of liver hemorrhage
• Details of the prior incision used for the procedure
• Procedure performed, including removal of clots and packing
• Control of bleeding and attainment of hemostasis
• Details of the closure of the incision
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 47362, ensure that the procedure is performed to manage liver hemorrhage and involves the re-exploration of a hepatic wound for the removal of packing. Review all codes from 47350 to 47362 to choose the appropriate code. There are no specific guidelines regarding reporting CPT 47362 with other codes.

8. Historical information

CPT 47362 was added to the Current Procedural Terminology system on January 1, 1996. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. A healthcare provider performs the re-exploration of a hepatic wound for the removal of packing to manage liver hemorrhage in a patient who had undergone a previous surgery.
2. During the procedure, the provider carefully removes clots and packing, controls bleeding, and attains hemostasis to manage the liver hemorrhage.
3. The incision is closed with sutures in layers, ensuring proper closure and healing.
4. Another healthcare provider performs the re-exploration of a hepatic wound for the removal of packing in a different patient with liver hemorrhage.
5. The procedure is performed successfully, and the patient’s condition improves as a result of the management of the liver hemorrhage.
6. A third patient with liver hemorrhage undergoes the re-exploration of a hepatic wound for the removal of packing to manage the condition.
7. The healthcare provider performs the procedure with precision, removing clots and packing, controlling bleeding, and achieving hemostasis.
8. The incision is closed, and the patient’s recovery progresses positively.
9. In another case, a healthcare provider performs the re-exploration of a hepatic wound for the removal of packing in a patient with liver hemorrhage.
10. The procedure is performed successfully, and the patient’s condition stabilizes as a result of the management of the liver hemorrhage.