Results 1 to 3 of 3

Thread: exploratory laparotomy-trauma's

  1. #1

    Question exploratory laparotomy-trauma's

    Promo: Code Books
    does anyone know if an exploratory lap (CPT 49000)can billed with modifier 59 on trauma pts (gunshot wound, auto accidents) in addition to the other procedure(s) such as liver repair, spleenectomy, small or large bowel resects?* I have been told that when it is a trauma that requires an emergent exploratory lap it can be billed with the 59 mod in addition to the procedures needed to be performed.* I have read NCCI edit manual and I interpert this as No, but am told differently. Also,I am told that the physician must state that the entire bowel was run. I would appreciate any feedback and resources regarding this.** Thanks!!

  2. #2

    Default exploratory laparotomy-trauma

    All surgical cases include exploratory procedures - how else would the surgeon know what to do? This is especially so in cases of trauma.

    If you want to prove this, to to the CCI Edits on the CMS website and instead of just looking at the edits, go to the Overview page (upper left hand corner is a link - Overview). Click on the NCCI Policy Manual for Part B Carriers.

    When you open this up, you'll see a bunch of PDFs with different chapters. Unfortunately, the chapter number doesn't correspond to the CPT chapters (numeric sections). You can locate the chapter that has CPT 49000 by clicking on the pdf titled: TOC (table of contents).

    Once you get your chapter, start reading - very interesting stuff can be found by reading the NCCI Manual. I don't read it often enough, but what you want & the rationale will be found right there.

    Leslie J

    http://www.askleslie.net

  3. #3

    Default

    I agree with LeslieJ. I have attached the exact link to CCI Edits on CMS in case you needed it. I have it saved in my favorites.

    http://www.cms.hhs.gov/NationalCorrectCodInitEd/

Similar Threads

  1. Exploratory Laparotomy
    By drufolo in forum OB/GYN
    Replies: 2
    Last Post: 08-13-2012, 06:17 PM
  2. exploratory laparotomy
    By Bertrav in forum Anesthesia
    Replies: 2
    Last Post: 03-22-2009, 07:46 PM
  3. exploratory laparotomy
    By bsuse in forum OB/GYN
    Replies: 1
    Last Post: 01-23-2009, 10:34 AM
  4. exploratory laparotomy
    By joykinne in forum Gastroenterology
    Replies: 1
    Last Post: 09-17-2008, 09:37 AM
  5. Exploratory Laparotomy
    By Hopp in forum General Surgery
    Replies: 1
    Last Post: 04-18-2008, 04:24 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.