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procedure discontinued

  1. #1
    Johnson City
    Default procedure discontinued
    Medical Coding Books
    Ok please refresh my memory on this one...

    Patient was scheduled to have a Laparoscopic adjustable gastric band placed (43770), and liver biopsy (47001) While dissecting the stomach was perforated, the surgeon repaired the stomach, and then performed the liver biopsy. The gastric band was not placed.

    Should I code this: 43770-52, 47001 (reduced b/c band wasn't placed)

    or 43840-52, 47001 (reduced b/c was performed laparoscopic, not open.) We prefer to bill this way instead of using unlisted codes....

    I know typically we don't code for repair of injury made during surgery, but for some reason this one is stumping me.

    Melissa Jewett, CPC

  2. #2
    Default 43770-53
    I would code the 43770 with a 53 for discontinued procedure. This allows you to bill it again once you complete it. I don't see how you could bill for iatrogenic perforation repair at all. Just the attempted lap band and the liver biopsy 47001. Good luck.
    Anita Johnson, CPC, CCS, CPMA, CCS-P
    Orlando, FL

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