I have recently taken on surgical coding and I am very confused by what I have been taught and what I have read in the coding companion regarding appendectomy codes 44950 & 44955.
It appears that 44950 should only be used in the istance of an incidental appendectomy. So when my surgeon performs an expl laparotomy that reveals acute appendicitis, then performs the appendectomy I would code 49000 and 44955. The previous coders nearly always billed 44950 for every appendectomy. Can someone please explain when 44950 is appropriate to bill? Will I nearly always code 44955 when done with another procedure and there is an indicated diagnosis? I'm extremly frustrated and confused by what I have been taught and what I have read.
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