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lap converted to open

  1. Default lap converted to open
    Medical Coding Books
    I have a case where they started out doing a lap but there were to many adhesions so they converted to a total abdominal hysterectomy this was after they spent 40 mins with lysis of adhesions. Can bill for the lysis of adhesions since it took that long or can I only bill the 58150?


  2. #2
    Greeley, Colorado
    I belive you can only code the open. But certainly use -22 and include as one of your diagnoses V64.41. Hopefully your doctor documented the 40 minutes of lysis of adhesions.
    Lisa Bledsoe, CPC, CPMA

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