Laparoscopic repair of enterotomy

hmanning

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OK so patient had a small bowel obstruction, MD laparoscopically performed enterolysis and while doing so nicked the bowel and had to laparoscopically repair the enterotomy. 44180 for the lysis but MD wants to have a code added for the repair, only an unlisted laparoscopic code is found and I have issues with the two being bundled. Modifier? Code? Anyone have any ideas?
 

Patricia Donegan

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Correct me if I'm wrong, but I do not think you can code / bill for repairing an injury
that you actually caused during the lysis. I think the repair is bundled into the lysis of adhesions....
 
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