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Thread: Laparoscopic Cholecystectomy that turned to open Cholecystectomy

  1. #11
    Join Date
    Apr 2007

    Default Lap to open procedures

    AAPC: Back to School
    What happens if one procedure is completed laparoscopically ie: splenetic flexure takedown, then the main procedure of sigmoidectomy is converted to open. Do you bill for the laparoscopic splenetic flexure then use V64.41 for the lap to open sigmoidectomy? Please advise!!!

  2. #12
    Join Date
    Apr 2007
    Cherry Hill, NJ


    I realize this is late but must say I was incorrect. If a procedure that started out laparoscopically and was converted to open, it should be billed as open with the dx of the procedure being done, and the lap converted to open dx.
    Emma Flattery, CPC,CGSC


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