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Thread: Could anyone help me with this?

  1. #1

    Default Could anyone help me with this?

    AAPC: Back to School
    Need help with the following. This is a unplanned return trip to the operating room one day after a TLH for bleeding from the trocar sites

    What would this be coded as?

    Dx laparoscopy converted to laparotomy
    ligation of bleeding vessels, electrocauterization of bleeding vessels
    had to place a flow seal across the right pelvic sidewall to the left pelvic sidewall.

    Rhonda Green, CPC

  2. #2


    49000 Exploratory laparotomy, of course with the modifier-78 E code and such stuff
    The tube is a drainage tube to make sure there is a complete Haemostasis occurring there and do not want to take up another chance of an unforeseen leakage; and it is a common procedure with exploration and that too with the history of bleeding inside.
    I feel that this becomes an integral part of the exploratory lap.

  3. #3


    thanks so much!!
    Rhonda Green, CPC

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