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Some advice please

  1. #1
    Default Some advice please
    Exam Training Packages
    Dr. performs
    1. Exploratory laparotomy w/ extensive lysis of adhesions (approximately 3 hours)
    2. Resection of short segment right colon.
    3. Repair of multiple enterotomies
    I know I can't bill the laparotomy or the enterolysis, because they are bundled w/ the resection of the colon. (This I'm sending w/ a -22 modifier) My question is can I bill the repair of the enterotomies. They were a direct result of the lysis of adhesions. Op note reads like this;
    I proceded slowly and carefully w/ dissection; however, the small bowel was densely adherent to the anterior abdominal wall in this location and approximately 3 or 4 enterotomies were created. I closed them each immediately with interrupted 3-0 silk sutures.
    My thought is I can't bill this, but I wanted to double check, because for some reason I keep second guessing my self.

  2. Smile

    Please dont bill the repair separately as they are the accidental enterotomies when performing the major procedure. Append modifier 22 with primary procedure.

    Joseph Amalraj Antonisamy CPC-H

  3. #3
    Default Thanks
    That's exactly what I was thinking, but like I said I was second guessing myself. Guess I haven't had enough coffee this morning

  4. Smile
    Complete the pending... that is u r coffee...

    Joseph Amalraj Antonisamy CPC-H

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