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Changing from laparscopic to an Open

  1. Default Changing from laparscopic to an Open
    Medical Coding Books
    What if any modifier is required when going from a laparoscpic to an open procedure?

  2. #2
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    ENGLEWOOD/DENVER
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    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
    Location
    Kansas City, MO
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    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, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

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