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Thread: laparoscopy converted to laparotomy

  1. #1
    Join Date
    Apr 2007

    Default laparoscopy converted to laparotomy

    AAPC: Back to School
    3-4-08 please help with procedure coding.
    attempted laparoscopy converted to laparotomy with lysis of extensive abdominal/pelvic adhesions, rso, excision of left fallopian hydadid cyst of morgagni.
    would you be able to code each procedure or are they all included with the rso??

  2. #2
    Join Date
    Apr 2007
    Gainesville, GA

    Default laparoscopy to laparotomy

    Bill the Laparotomy as primary and the laparoscopy with a -53 and -51 on it. Be assured that the carrier will want to bundle the codes. Check to make sure that their is not a CCI edit on them 1st. (some carriers prefer to use -59 as apposed to -51.)

    You could also add -22 to primary procedure and add money. Send op notes to justify.

  3. #3


    My understanding is that you can only bill for the laparotomy, but you need to use V64.41 to describe the conversion.
    adrianne, cpc

  4. #4
    Join Date
    Apr 2007
    Madisonville Pennyrile; KY Code Miners


    I agree with abenson...Its my understanding you lose the laparoscopy procedure and only bill the open procedure. But you have to make sure to use the V64.41-lap converted into open as one of your codes.
    Charlotte Lynn, CPC, CPC-H, COBGC
    Baptist Health Madisonville Women's Care
    Madisonville Pennyrile Chapter
    Madisonville, KY

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