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Lap. Resection Gastrointestinal Stromal Tumor

  1. #1
    Location
    St. Louis, Missouri
    Posts
    262
    Default Lap. Resection Gastrointestinal Stromal Tumor
    Medical Coding Books
    Is there a code for Laparoscopic Resection of a Gastrointestinal Stromal Tumor or do I need to use the unlisted code 43659?

    Melissa Blow, CPC

  2. #2
    Location
    Johnson City
    Posts
    202
    Default
    I would consider codes 43610-43611 In our practice if there is no laparoscopic code, we use the open code and modifier 52. We send a note with the claim indicating to the insurance carrier the claim is reduced because was performed laparoscopic not open. We've had better luck with the claim processing faster and payment being accurate vs sending an unlisted code having to send the op note and have the insurance company manually price it, and under pay the claim.

    Hope this helps.
    Melissa Jewett, CPC

  3. #3
    Smile
    My suggestion if there is not laparoscopic code, use the unlisted laparoscopic code within that section.

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