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looking for code

  1. #1
    Default looking for code
    Medical Coding Books
    what code could be used for a laparoscopic pyloroplasty?

  2. #2
    Default
    Have you looked at code 43800? I don't know if that's correct but that is the only one I see for pyloroplasty.
    Last edited by ckirkp1; 09-23-2010 at 07:36 AM.

  3. #3
    Location
    Charleston, WV
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    I believe you would have to use the unlisted laparoscopic stomach procedure code 43659 since there isn't a lap pyloroplasty code. I'm sure you already have but, just in case, make sure the doc didn't mean pyeloplasty (50544). I had a doc who used to document pyloroplasty when he meant pyeloplasty every time.

  4. #4
    Default
    this one i am sure it was a pyloroplasty_ill keep that in mind though. I was going towards the unlisted code but wasnt sure if if i code the 43800(open) with a modifier?

  5. #5
    Location
    Charleston, WV
    Posts
    245
    Default
    I would use the unlisted lap code. That's what they're there for.

  6. Default
    I code these and have to use the unlisted.

  7. #7
    Default
    ok thanks for the help- now this pt came back to OR for

    Exploratory laparotomy, repair of pyloroplasty, duodenal drainage, gastrostomy tube placement, wide drainage.

    DRAINS:
    1. A right-sided duodenal tube to the pyloroplasty repair.
    2. A G-tube in the stomach.
    3. A left upper quadrant Jackson-Pratt drain.
    4. A right upper quadrant Jackson-Pratt drain.
    5. A Jackson-Pratt drain draining the area of the pylorus.

    and now im not sure how to code the drainage-any suggestions?

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