AAPC - Back to school
Results 1 to 2 of 2

Thread: Diagnostic Lap conversion to Laparotomy

  1. #1

    Default Diagnostic Lap conversion to Laparotomy

    AAPC: Back to School
    Can someone assist me in coding the following procedures:

    1. Diagnostic Laparoscopy conversion to Laparotomy
    2. Massive lysis of adhesions
    3. Removal of FB consisting of Mesh

    DX: 625.8 599.70 V64.41
    Should I code a FB code for the removal of mesh, or should I go into the complication section? The patient previously had a abdominal wall reconstruction and hernia repair. The hernia was very large and draped over the bladder, which was causing the pelvic pain and hematuria. The mesh had had become strongly adherent on to the abdominal wall and to the bowel, large and small intestine as well, so the physcian needed to remove the mesh. The physcian converted from a diagnostic Lap to an open becauuse the mesh was too large and there was a lot of adhesions. As I understand, I can not code for the removal of adhesions as this is inclusive to the procedure, unless the physcian spent a lot of time removing it and if it is stated in the report, in which this case he did not mention a specified time.
    In my coding companion 599.70 is not listed as a covered dx for this procedure, 625.8 is, what code should I use for the 11008 removal of mesh?

    Thanks for your help!

    The codes I have is 49000 and 11008

  2. #2


    I have always been told to use 49999 for removal of mesh and send the op notes with the claim. This should be the only code used.

Similar Threads

  1. Lap conversion sleeve to BPD/DS
    By lindacoder in forum General Surgery
    Replies: 0
    Last Post: 01-17-2014, 10:20 AM
  2. Lap Band Conversion to Sleeve
    By Williealawishes in forum General Surgery
    Replies: 5
    Last Post: 08-08-2013, 02:34 PM
  3. Diag Lap coverted to Laparotomy
    By klacross in forum OB/GYN
    Replies: 1
    Last Post: 06-07-2011, 04:14 PM
  4. Replies: 3
    Last Post: 05-12-2009, 08:49 AM
  5. Replies: 1
    Last Post: 03-09-2009, 10:38 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.