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Diagnostic Lap with Graham's patch - duodenal perforatios

  1. Default Diagnostic Lap with Graham's patch - duodenal perforatios
    Medical Coding Books
    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.


    Is any of those codes correct?

  2. #2
    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

  4. #4
    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.


    Vikas Maheshwari

  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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