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lap converted to open-The standard guidelines

  1. Default lap converted to open-The standard guidelines
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    The standard guidelines state if a procedure is attempted lap and converted to open to code it as an open with the V64.41 dx.
    What if my surgeon successfully completes a procedure laparoscopically and when attempting to do procedure # 2 (non related/non bundled) laparoscopically he experiences difficulty forcing him to convert to open. Would if be appropriate to bill for proc #1 with a lap code and proc#2 with an open code? Is it all or nothing and can they be split accordingly?

  2. Default
    If procedure numer 2 is completely unrelated and diff site with diff diagnosis -- then yes you can code proc 1 as lap and proc 2 as open. Dictation must however support that they are unrelated procedures performed at the same time.

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