Results 1 to 6 of 6

Please help with CPT code.

  1. #1
    Default Please help with CPT code.
    Medical Coding Books
    Good afternoon!

    I am not sure how to code a laparoscopic repair of a perforated duodenal ulcer.

    Would I use the unlisted stomach, 43659 code or just use CPT code 43840?

    Thanks in advance for your help!

  2. #2
    Default
    I would code CPT 43840 and try not to use unlisted codes if possible.

  3. #3
    Location
    Columbia, MO
    Posts
    12,531
    Default
    No you cannot use an open procedure code for a laprascopic procedure. Some will tell you to code the open procedure with a 52 modifier, however in speaking with numerous surgeons, they feel that they do more work when using the laprascopic approach as to the open approach so this is not good for them. Therefore the more appropriate way is to use the unlisted code. You will need to also put a procedure descriptor in the line above the code, or some payers let you put this in box 19 along with a compare to code for the expected RVU value.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Default
    Debra
    Thank you for clarification on that code, I should have posted the same question last week and then I wouldn't be submitting a corrected claim.

    Brenda Wray CPC

  5. Default
    Hi,
    I agee with Debra.
    laparoscopic repair of a perforated duodenal ulcer-43659

    Nalini CPC

  6. Default
    My suggestion will be to use unlisted procedure code 44238 instead of 43659. Duodenum is part of small intestine, hence CPT 44238 will be more appropriate than 43659.

    Thangaraj.A CPC

Similar Threads

  1. CPT code 99050 vs CPT code 99051
    By Rperry in forum Compliance General Discussion
    Replies: 2
    Last Post: 10-29-2014, 10:52 AM
  2. Does cpt code 64450 include cpt s0020?
    By micki127 in forum Anesthesia
    Replies: 1
    Last Post: 04-23-2014, 10:40 AM
  3. CPT code 45380 or CPT code 45383
    By NESmith in forum Gastroenterology
    Replies: 1
    Last Post: 12-31-2013, 08:15 AM
  4. Coding ER Cpt code or outpatient cpt code
    By tkd in forum Emergency Department
    Replies: 2
    Last Post: 02-17-2012, 09:53 AM
  5. Overread CPT code 76140 vs Original CPT code
    By nperry@umc.edu in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 06-23-2011, 08:19 AM

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?

Login

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.