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Diagnostic Lap with Graham's patch - duodenal perforatios

  1. Default Diagnostic Lap with Graham's patch - duodenal perforatios
    Exam Training Packages
    Hello,
    Please help with the following PX:

    The physician did a diagnostic Lap with Graham's patch( a surgical techinque that is used to close duodenal perforatios. A piece of omentum is used to cover the perforation). DX: peritonitis secondary to anastomitic leak

    The patient just had bariatric surgery 24 hours prior. The only code I found was 49329 unlisted.

    49329-78
    1.997.4
    2.567.9

    Is any of those codes correct?

  2. #2
    Default
    the CPT 49326 looks like a good one to use but it is an add-on code for 49324 or 49325 and neither of those look good so my next guess would be the unlisted code you chose.

  3. Default Reply
    Thanks!

  4. #4
    Location
    Indianapolis
    Posts
    30
    Default Graham Patch
    We use 43659 for a lap Graham Patch.

  5. Default
    i think 44799 is the perfect choice for this procedure as far 43659 concern it is a laparoscopic procedure so you cannot bill this until the procedure did not mention laparocopic.


    Thanks,

    Vikas Maheshwari
    MBA-HCS, CPC-H
    vikashmaheshwari@gmail.com

  6. Default
    You should use code 49329 "Unlisted laparoscopy procedure, abdomen,peritoneum and omentum." This is a more definite code for the omental patch.

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