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Thread: Please Help Exploratory Laparoscopy

  1. #1

    Default Please Help Exploratory Laparoscopy

    AAPC: Back to School
    Multiple stab wounds to thoracoabdominal region, traumatic laceration of face 4cm

    Doc notes 3 items 1. Exploratory Laparoscopy, 2. Laparoscopic Diaphragmatic Repaid 3. repair of facial laceration 4CM in Length

    Midline supraumbilical incision carried down through to base of umbilicus, grasped adn end elevated. Hasson Trocar entered through defect and pneumoperitoneum was established. Laparoscope was entered into abdomen. Abdomen, bowel, transverse colon, small intestine, stomach and liver examined, no evidence of laceration. 5mm placed through stab wound indicating a small laceration in the diaphragm 1cm. Appeared to be level of mid to upper spleen region which shallow laceration of splenic pole. Diaphragmatic laceration repaired laparoscopically 0 silk suture was introduced through port. left upper quadrant irrigated until clear. Abdomen again examined, no further injury. ports removed. Skin closed in subcuticular fashion using 4-0 Vicryl

    Any anyone please help with CPT code for this.... Thank you so much!

  2. #2


    There are no Laps diaphragm repair codes so you would used unlisted to body site 39599. Nothing for the facial laceration since it's not dictated. If dictated and not put on here, then see appropriate repair code.

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