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Falciform Ligament Flap - Surgeon performed

  1. #1
    Location
    Charleston, WV
    Posts
    245
    Default Falciform Ligament Flap - Surgeon performed
    Medical Coding Books
    Surgeon performed:

    Whipple w/partial gastrectomy
    Cholecystectomy
    Pancreas bx
    Retroperitoneal lymphadenectomy
    and created a falciform ligament pedicle flap to cover the gastroduodenal artery stump. Is the flap included in the other procedures? If not, any idea how to code it?

  2. #2
    Default
    The cholecystectomy is included in the whipple. I have billed for the falciform ligament under 49999 (along with med necessity letter & operative report) and have received payment from all carriers but Anthem. Anthem is the only carrier that states that it is included in the whipple but they can't seem to indicate how it's included. All other carriers have paid after I have appealed them. Hope that helps you!

  3. #3
    Location
    Charleston, WV
    Posts
    245
    Default
    Thanks.

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