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dx lap

cynthiabrown

True Blue
Local Chapter Officer
Messages
505
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if dr does a diagnostic laparoscopy and then ultimately opens the parient for reduction of internal hernia, can we bill dx lap and if so, is a mod required
 

rollinholy

Networker
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44
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Hardeeville, SC
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if dr does a diagnostic laparoscopy and then ultimately opens the parient for reduction of internal hernia, can we bill dx lap and if so, is a mod required
I have found the ex lap will not be paid; if they go in and actually perform another procedure, bill only for the other procedure
 

Lujanwj

Guru
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229
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0
You can bill for it if it's truly is a DX Laparoscopy. However, if it's to explore to see if Laps procedure will be possible, Rollin is correct.

NCCI Policy Manual Chapter 1:

12. If a diagnostic endoscopy is the basis for and precedes an open procedure, the diagnostic endoscopy is separately reportable with modifier 58. However, the medical record must document the medical reasonableness and necessity for the diagnostic endoscopy. A scout endoscopy to assess anatomic landmarks and extent of disease is not separately reportable with an open procedure. When an endoscopic procedure fails and is converted to another surgical procedure, only the completed surgical procedure may be reported. The endoscopic procedure is not separately reportable with the completed surgical procedure.
 
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