51865 vs 51040

maudys

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preop dx was intraabdominal abscess, rule out ischemic bowel.

post op dx was no bowel ischemia, no intraabdominal abscess.

procedure was exploratory laparotomy; bladder repair in 2 layers.

CT scan findings were actually a bladder mass, which was opened in an attempt to rule out abscess. The mass was opened and bladder was entered as evidenced by palpating the balloon of the foley catheter. Bladder was repaired in 2 layers.

Should this be coded as a cystorrhaphy 51865, or cystotomy 51040?
 
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