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Wiki Lap appy converted to open w/ open hemicolectomy

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nlbarnes

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*** Couldn't delete *** I think it's bundled since it went from lap to open where if it stayed lap, they both would have been billable?

Pt came in w/ severe acute appy w/ peritonitis. Went in lap but had to convert to open - had to do a RT hemicolectomy due to abscess.

Path confirms this.

What do I use for the appy code?
 
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Lap appy converted to open w/ open hemicolectomy

hi,

lap converted to open hemi-colectomy right coded for the CPT 44140-22(open Method only coded), Modifier 22 used for lap converted to open and ICD 10- Z53.31

KEERTHANA CPC
 
If the appy was done separately from the hemi-colectomy, and the terminal ileum was not removed, I would use 44140 and 44955 for indicated appendectomy performed with major procedure. If the partial colectomy specimen included the terminal ileum with appendix, 44160 only.
 
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