NCDActive
Laparoscopic Cholecystectomy
NCD116
Effective: November 18, 1991
Updated: December 31, 2025
Policy Summary
Laparoscopic cholecystectomy is covered when used to remove a diseased gallbladder using cannulae and video laparoscopic visualization, including procedures performed with intraoperative cholangiography. Billing requires inpatient claims to list the diagnosis code for laparoscopic cholecystectomy and non-inpatient claims to report the appropriate CPT code(s) for laparoscopy cholecystectomy and cholecystectomy with cholangiography.
Coverage Criteria Preview
Key requirements from the full policy
"Laparoscopic cholecystectomy is covered for removal of a diseased gallbladder using instruments introduced via cannulae with visualization of the operative field by a video laparoscope."
Sign up to see full coverage criteria, indications, and limitations.