Results 1 to 3 of 3

Cancelled appendectomy

  1. #1
    Kalamazoo, MI
    Question Cancelled appendectomy
    Medical Coding Books
    I have a 9 yr old patient that was going in for appendectomy. Patient was under general anesthesia, doctor did a repeat physical exam and found what she had thought was "skeletal muscle guarding", was actually in fact a pelvic/abdominal mass that arose from the pelvis to fill the pelvis and abdomen up above the umbilicus into the upper abdomen. It was quite large. Because of this newly found mass, the procedure was cancelled.

    I'm wondering how this can be coded out? My initial thought was to code 44950 with modifier 53 for the professional side. But the facility side would have to use modifier 74, which indicates that an incision must be started or scope inserted...but this was never done. This was only an examination under anesthesia.

    Thoughts?? Suggestions??

    Thank you!

  2. Default
    If you're coding professional fees, you would use the -53. The facility fee coder would use a -74 modifier. The -74 means the procedure was discontinued after the administration of anesthesia.....the incision doesn't have to be there yet nor does a scope have to be inserted, etc. ...the anesthesia has to have been started, that's it. Most of the commercial payers I deal with want the claim dropped to paper and a copy of the op note faxed to them when I use the -74.

    Hope this helps.

  3. #3
    Kalamazoo, MI
    Thank you! That is a huge help!

Similar Threads

  1. appendectomy
    By in forum General Surgery
    Replies: 2
    Last Post: 08-10-2013, 12:10 PM
  2. Appendectomy help!!
    By maine4me in forum General Surgery
    Replies: 3
    Last Post: 02-01-2012, 09:07 AM
  3. Appendectomy
    By pjhollin in forum General Surgery
    Replies: 3
    Last Post: 05-05-2010, 02:12 PM
  4. Appendectomy
    By mmelcam in forum General Surgery
    Replies: 3
    Last Post: 07-07-2008, 01:49 PM
  5. Appendectomy-My Surgeons Performed
    By RODRIGUEZL in forum General Surgery
    Replies: 4
    Last Post: 06-14-2008, 01:03 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.