appendix

  1. J

    Wiki acute appendicitis without peritonitis, unspecified code?

    Curious if anyone has any insight on why acute appendicitis without peritonitis would be an unspecified code, K35.80? We have an insurance carrier who denies claims with 'unspecified' in the primary or secondary code description. We see a lot of acute appendicitis. If the appendix has not yet...
  2. RaveenaS

    Wiki +44955- Laparoscopic or Open only?

    A coder has billed CPT 44979 with reference to add-on code 44955 as the appendix was normal and incidental. UHC has denied payment on 44979 as the operative note we sent in is being considered "Incomplete Documentation." I reviewed the documentation myself and it seems 44955 is appropriate to...
  3. N

    Wiki Lap partial cecetomy w/o anastomosis & appy

    I wanted to code this 44204-52 but the doctor wants to only bill the appy (doctor: as it was just a staple line across the cecum, higher than you usually do an appendectomy alone so trickier to do but not a formal bowel resection with anastomosis. It is a lot closer to an appendectomy than a...
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