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CPT for laparoscopy for cauterization liver bed and omentum

  1. #1
    Athens, OH
    Default CPT for laparoscopy for cauterization liver bed and omentum
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    I need some help with a laparoscopy done for post op liver bed bleeding after a lap chole.

    The patient had an uneventful lap chole but the following day developed liver bed bleeding. My doc took her back in for a laparoscopy with cauterization of liver bed and omentum. The op report just states that there were some clots around the liver bed and in the omentum and a little area at the edge of the liver in the gallbladder fossa that was oozing. Only cautery was used during the procedure, no suture.

    Given this, I am not inclined to use 47350 as no suturing was done, only cautery.

    Would you use just the basic 49320 Mod 78...???

    Thanks for any input or insight
    RBoggs CMA, CGSC **Bloom where you are planted**

  2. #2
    Neither code you referenced will work because this is not an open procedure or a diagnostic laparoscopy. I think you will have to use 47379 (unlisted laparoscopy procedure, liver) and submit the operative note for review.

  3. #3
    Well, technically it's not a diagnostic laparoscopy but the work involved is more than a diagnostic laparoscopy. I'm curious if any would submit it as a diagnostic laparoscopy anyway? I think that's the easiest (but maybe not best or correct?) way to go?

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