Thank you for posting the op note.
I would probably code this using CPT codes 47350 for repair of the liver lac and also 39501 for repair of the diaphragm.
There are no CCI edits with these codes and depending on the payer, I might use modifier 59 on the second code (39501).
I would definitely query the surgeon as to whether he/she considers this a simple or complex repair of the liver. If it is a complex repair, the primary CPT code would be 47360. The H&P/consult might give you a clue about simple vs complex repair.
Disclaimer: I don't tpically code extensive trauma. You might try posting the question to The Coding Institute coding forum for general surgery. There are some very good trauma coders who monitor that forum.
If you would like to contact me directly or have other questions, my e-mail is firstname.lastname@example.org
I hope this was helpful - good luck with the case!
Pat Kidd, CPC, CGSC
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