Total splenectomy and excision of accessory spleen

LaceyCanon

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Conway, AR
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The surgeon is wanting to bill 38100 for the total splenectomy and 49203 for excision of accessory spleen. I am thinking the accessory spleen is incidental and nothing should be billed. Any opinions out there??
 
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The surgeon is wanting to bill 38100 for the total splenectomy and 49203 for excision of accessory spleen. I am thinking the accessory spleen is incidental and nothing should be billed. Any opinions out there??

I agree with you. The description for 38100 includes "Separate procedure" so anything else done in that location, eg the excision, would be included. Nothing comes up in the edits for the two codes, but 49203 isn't specific to that location, so I still say it's inclusive.
 
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