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Thread: repair of colon during cholecystectomy

  1. #1

    Question repair of colon during cholecystectomy

    AAPC: Back to School
    The px started out as a laparoscopic cholecystectomy but the converted to an open. The colon was punctured by the trocar. The colon was repaired then they did the open cholecystectomy. Can I code 44604 with the 47600?


  2. #2
    Join Date
    Apr 2007
    Johnson City


    Colorrhaphy (44604) should not be coded when the injury to the colon was created during the same surgery. Sometimes the bowel is nicked, often times when doing lysis of adhesions. It is not appropriate to bill for suturing the bowel in that situation.

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