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Thread: Lap appy w/ exploratory laparotomy

  1. #1
    Join Date
    Apr 2007
    Dallas Texas

    Default Lap appy w/ exploratory laparotomy

    AAPC: Back to School
    Does anyone have any good resources for Trauma / General surgery?

    Do you drop the Lap Appy code for the following procedure?

    Lap appy, expl laparotomy w / ileocecostomy

    The surgeon completed the lap appy, but found that there was bowel leakage and decided to do an expl lap. " the laparotomy incision was utilized from the supraumbilical port down to the pubis".

    Thanks for any input!
    Treacie, CPC
    Treacie Hunter, CPC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Lap Appy

    For an accurate response to surgical coding questions, please post the scrubbed operative / procedure note(s).

    In general, you can't code the exploratory surgery once you have a definitive procedure. So I would code the lap appy. You might be able to use a -22 modifier to indicate additional work.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Fayetteville, NC


    Did the physician actually perform an ileocecostomy?
    If they did I think it's codeable in addition to the lap appy. Of course on of the codes will need to be modified and the OP note has to be specific as to why the ileocecostomy was done.
    If all that was done was an exploratory laparotomy then you would just code the lap appy.
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

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