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Thread: Changing from laparscopic to an Open

  1. #1

    Default Changing from laparscopic to an Open

    AAPC: Back to School
    What if any modifier is required when going from a laparoscpic to an open procedure?

  2. #2
    Join Date
    Apr 2007


    I dont know of any specific modifiers, but there are V code's that you can report to let the carrier know about the conversion to an open procedure.

  3. #3
    Join Date
    Apr 2007
    Kansas City, MO


    When converting a laparoscopy to a laparotomy the AMA recommends using a -52 on the laparoscopy and submitting the open code as your primary. ACOG recommends adding the -22 to the open code if the failed scope entailed significant additional work and not billing out the scope.

    However, if you are billing Medicare or any other federal payer, you can only bill out the successful procedure per the NCCI Edits Chapter 1, Section C, Items 10 and 11.
    Angela Jordan, CPC
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


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