I could really use some help. My surgeon performed an antrectomy (partial, distal gastrectomy) and vagotomy but did not perform a gastrojejunostomy. On a subsequent day, the patient was taken back to the OR and a gastrojejunostomy was performed without vagotomy. Would it be appropriate to code 43632-52 and 43635 for the first surgery and then 43632-58 for the 2nd surgery? Or would you use 43820 for the 2nd surgery? Still struggling with how to code the 1st surgery. To make matters even more complicated, a 3rd surgery was performed to close the wound. I was thinking 49002-58 for this. Thanks!
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