AAPC - Back to school
Results 1 to 3 of 3

Thread: What are the rules for lap?

  1. #1

    Question What are the rules for lap?

    AAPC: Back to School
    I have a physician who will do an entire lap LAR, 44207 with mob splenic flexure, 44213 laparoscopically. After confirming anastomosis intact, he will remove the ports and enlarge the midline incision. He will then perform an open 44700. Most ins will not accept a claim with lap codes and open codes billed together. Are there rules for cases like this?

    I know if a lap is converted to an open, an open code is billed.

  2. #2


    As long as the Dr. is enlarging the incision and then performing that procedure totally separate, you should be able to send ins the documentation and fight it, or put a 59 mod on the 44700 to show that this is indeed a separate procedure.

  3. #3


    That's what I thought, just need confirmation. Thank you for taking the time to answer.

Similar Threads

  1. Lap Gastric Bypass and Lap Hiatal Hernia Repair
    By kbolton1 in forum General Surgery
    Replies: 2
    Last Post: 05-18-2012, 07:31 AM
  2. Expl Lap conv to open Lap lit of epigastric artery
    By bill2doc in forum General Surgery
    Replies: 0
    Last Post: 04-11-2012, 06:42 PM
  3. Replies: 3
    Last Post: 05-12-2009, 08:49 AM
  4. Lap Gastropexy & Lap Hiatal Hernia Rpr
    By erikau in forum General Surgery
    Replies: 1
    Last Post: 12-17-2008, 02:12 PM
  5. What are the rules for Lap?
    By acbarnes in forum General Surgery
    Replies: 1
    Last Post: 06-17-2008, 03:09 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.