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Thread: Cecectomy with appendectomy

  1. #1
    Join Date
    Apr 2007
    Woodbridge, Virginia

    Default Cecectomy with appendectomy

    AAPC: Back to School
    Does anyone know if a open 'Cecectomy w/appendectomy' would be coded using CPT 44140/+44955 (Partial colectomy with add-on appendectomy)

    The Surgeon went to do an appendectomy but after finding out there was a perforation, he ended up needing to remove the cecum as well as the appendix.


  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Can you post the op note?

    Can you post the scrubbed op note?

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Woodbridge, Virginia


    I am not able to post the surgery but I can let you know that the end result was removal of the appendix along with a small portion ot the cecum.

    I am not sure if this would code as a 'partial colectomy' with removal of appendix or just 'removal of appendix' with maybe modifier 22? Or, would it just be part of an 'open' appendectomy?

  4. #4


    If the surgeon removed the Terminal Ileum the open code would be 44160. Otherwise I would just code the partial Colectomy. Its hard to say for sure without the op-note.

    Michael Reyland, CPC, CIRCC
    Surgical Specialists of Georgia

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