Wiki Lap PD Cath 49324

[Lbooth110]

Doc did a Lap. lysis of adhesions and a lap. placement of tunneled PD cath 49324 with the dx of Renal failure, need for dialysis, diabetes and HTN, lysis of adhesions.

My ? is what would be the primary dx for the 49324?

And sinse the Lap. lysis of adhesions is bundled with 49324 would it be appropriate to append a 22 for all the time spent on lysis of adhesions?

Thank you,
ZB

 

[MCook]

If the doctor documented that the amound of time the lysis of adhesion extended the normal operation time, modfiier 22 would be appropriate. I would use the renal failure as the primary dx.

 

[Lbooth110]

Thany for your help.