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Thread: Diagnostic Lap with Graham's patch

  1. #1

    Default Diagnostic Lap with Graham's patch

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Bangor, Maine


    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. #3

    Default Reply


  4. #4
    Join Date
    Apr 2007

    Default Graham Patch

    We use 43659 for a lap Graham Patch.

  5. #5


    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. #6


    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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