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  1. #1
    Red face Laparotomy
    Medical Coding Books
    Hi When billing for Laparotomy with appendectomy or ventral/umb hernia repair would it be appropriate to use a 59 modifier for the appendectomy, ventral/umb hernia repair? Thanks

  2. #2
    you would not bill for the laparotomy, it is always included in any open procedure. The hernias can only be billed if there was a separate incision for the repair otherwise you have the appendectomy only.

    Terri Winsor, MA, CPC
    Surgical Oncology/Pediatric Coder
    Terri Winsor, CPC, CCC

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