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Appendectomy-My Surgeons Performed

  1. #1
    Default Appendectomy-My Surgeons Performed
    Medical Coding Books
    My Surgeons Performed An Appendectomy (nothing Wrong With Appendix) But Diagnosis Was That Of Pelvic Inflammatory Disease. I Should Be Billing For Exploratory Laparotomy Only, Correct?

  2. Default
    Was the patient having symptoms (like abd. pain) that made them suspect appendicitis?

  3. #3
    Yes She Was.

    I Did Ask This Question At A Very Recent Seminar. The Answer Was That You Would Only Charge An Exploratory Laparotomy, The Appendectomy Is Incidental If There Is No Diagnosis To Substantiate The Appendectomy....

    Thank You!

  4. #4
    Default Appendectomy
    What diagnosis code would you use for this if there are no symptoms? I have a case where the patient was sent in to surgery for uterine prolapse and they removed the appendix. There was nothing dx code related in the surgery report.

  5. Default
    Often, when a surgeon is performing abdominal surgery, they also remove the appendix. Typically, it would be incidental to the main abdominal procedure. If, in fact, they found gallstones or some other indication, you could charge for the appendectomy with modifier 59. But again, in order to charge for it, the appendectomy would be subject to medical necessity.
    Last edited by Treetoad; 06-15-2008 at 03:24 AM.


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