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Wiki Laparoscopy to Laparatomy for Repair

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eimoreno

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Physician performed a laparoscopic ovarian cystectomy. However, during the procedure there was a laceration of the inferior epigastric artery. Doctor then performed laparotomy to repair the injury.

I know that normally you would bill only the open procedure and not the laparoscopy. However, since it was to repair a complication from the surgery, I am thinking that we would not bill for the repair. Instead, we would bill the laparoscopy (maybe with modifier 22) and not bill out the laparotomy.

Any feedback?
 
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