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Thread: Laparoscopic repair of enterotomy

  1. #1
    Join Date
    Apr 2007

    Default Laparoscopic repair of enterotomy

    AAPC: Back to School
    OK so patient had a small bowel obstruction, MD laparoscopically performed enterolysis and while doing so nicked the bowel and had to laparoscopically repair the enterotomy. 44180 for the lysis but MD wants to have a code added for the repair, only an unlisted laparoscopic code is found and I have issues with the two being bundled. Modifier? Code? Anyone have any ideas?

  2. #2


    Correct me if I'm wrong, but I do not think you can code / bill for repairing an injury
    that you actually caused during the lysis. I think the repair is bundled into the lysis of adhesions....

  3. #3
    Join Date
    Apr 2007


    I agree, if you cause it you must fix it.

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