Page 1 of 2 12 LastLast
Results 1 to 10 of 14

Surgery help please

  1. #1
    Default Surgery help please
    Exam Training Packages
    I have a doctor wanting to bill a 58150 (Total abdominal Hyst) and a 49320 (Laparoscopy). She went in to do a vag hyst but due to adhesions she converted to abdominal approach. I am thinking she should bill only the
    58150. Any oppinions?
    thanks

  2. Default
    When converting from a laparoscopic procedure to an open procedure, you should only be charging the open procedure.

    ~L
    CPC, CGSC, COSC

  3. #3
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I agree with Treetoad (that is the rule). Be sure to use the appropriate V code for the lap convert to open

  4. #4
    Location
    Austin, TX
    Posts
    18
    Thumbs up Lap to Open
    I am in agreement with both ladies who chimed in before me. When converted to open... you can't bill the 49320, you should only bill 58150.

  5. #5
    Default
    In some surgeries, I bill the lap procedure w/ a mod 53 and then the open procedure w/ the v code for the conversion. I get paid.
    adrianne, cpc

  6. #6
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    sorry adrianne but I believe that is against correct coding. Sounds like you may be coding for payment which is inappropriate. Can you give an instance that you do this that could be appropriate?

  7. #7
    Location
    St. Louis, Missouri
    Posts
    262
    Default
    You would only bill the open procedure with the V diag code for lap converted to open

    Melissa Blow, CPC

  8. #8
    Default an example would be....
    Dr. initially started to perform a lap appy, after an extensive amount of time he realized he couldn't get to it w/ out causing more problems for the pt and at that point decided to discontinue the lap and convert to an open appy.
    Can you show me something that states this would be inappropriate?
    adrianne, cpc

  9. #9
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    cynthiaj54,
    I agree with the Treetoad, mbort, & sbranham -

    Laparoscopic Procedures Converted to Open

    There is currently no way to indicate, via code assignment, that a laparoscopic procedure has been converted to open. Some facilities are assigning both laparoscopic and open procedure codes when a conversion is done. This is clearly an incorrect coding practice. Coding rules dictate that if a procedure must be completed via an open approach, the laparoscopic approach is not coded. Some facilities are using internally developed modifiers to identify laparoscopic procedures converted to open. It is recognized that facilities and epidemiologists need to be able to capture this information. There is currently no consensus regarding the best way to resolve this issue.
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  10. #10
    Location
    St. Louis, Missouri
    Posts
    262
    Default
    I am not sure if you subscribe to this but in the General Surgery Coder's Pink Sheet December 2007, Vol. 6, No. 12 issue there is a case file that states that only the open procedure can be billed. Hope this helps.

    Melissa Blow, CPC

Page 1 of 2 12 LastLast

Similar Threads

  1. new to surgery...help
    By ksrkelly7 in forum General Surgery
    Replies: 4
    Last Post: 02-05-2015, 12:04 PM
  2. Replies: 6
    Last Post: 05-23-2014, 05:46 PM
  3. Plastic Surgery - Surgery Suite in office
    By rmitchell in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-03-2010, 12:51 PM
  4. Help with surgery
    By kdm in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 11-23-2009, 09:20 AM
  5. help with surgery
    By bsuse in forum OB/GYN
    Replies: 0
    Last Post: 04-01-2008, 07:33 AM

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?

Login

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.