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Diag Lap coverted to Laparotomy

  1. Default Diag Lap coverted to Laparotomy
    Medical Coding Books
    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. Default
    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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