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Thread: Help w/ open chole billing

  1. #1

    Default Help w/ open chole billing

    AAPC: Back to School
    In the scenario of the doctor first attempting the Pt's cholecystectomy laproscopically, only to find he needs to convert to an open chole, am I able to bill the open chole 47600 plus the 49320 for lap with a -59 modifier ?

  2. #2
    Join Date
    Apr 2007


    I was taught that if a procedure is converted from lap to open, you only code for the open procedure - so, the 47600-47620 series. Hope it helps!

  3. #3
    Join Date
    Apr 2007
    Dickson, TN

    Default lap vs open

    If it is converted you are suppose to be the completed procedure which would be the open on. there is a ICD-9 code for converted procedure it is V64.41.

    I hope this helps
    Debbie Potts England
    Lyles, TN 37098

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