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Thread: Diag Lap coverted to Laparotomy

  1. #1

    Default Diag Lap coverted to Laparotomy

    AAPC: Back to School
    Could someone please help me code a Diagnostic laparoscopy converted to exploratory laparotomy for bowel perforation and lysis of adhesions as well as removal of pelvic cystic mass?

    My Doc said to code 58925 and 58740.

  2. #2


    49000- Exploratory Laparotomy
    49203 for pelvic cystic mass
    adhesiolysis- with modifier -59 and Vcode 64.41 for laparoscopic converted to open procedure
    If taken long time then you can add also Mod-22
    The plevic mass need not necessarily be Ovarian.
    And yet another Vcode V71.89 for the suspected bowel perforation not found which could be the primary Icd-9 diagnosis
    Last edited by preserene; 06-07-2011 at 04:38 PM.

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