AAPC - Back to school
Results 1 to 2 of 2

Thread: DX Lap, median pancreatectomy with Rounx-en-Y pancreatic jejunenostomy...

  1. #1
    Join Date
    Apr 2007

    Default DX Lap, median pancreatectomy with Rounx-en-Y pancreatic jejunenostomy...

    AAPC: Back to School
    We are going to be performing a procedure on a patient whose insurance we are not par with. We are in the process of negotiating a fee with the insurance company. Here is the scenario of what the provider plans on performing. Please help me choose the CPT codes...

    Diagnostic laparoscopy, then a median pancreatectomy with a Roux-en-Y pancreatic jejuenostomy and possible subtotal pancreatectomy and splenectomy. Diagnosis is cystic neoplasm of the pancreas.

    Any help would be greatly appreciated.

    Christina Lee Wagner, CPC, CPC-H

  2. #2


    A diagnostic laparascopy with a Roux-en-Y pancreatic jejunostomy may not be paid on the same date of service.
    Also, a subtotal pancreatectomy encompasses a median pancreatectomy and these too should not be billed for the same DOS.
    If you want both the jejunostomy and splenectomy billed, it is safe to include the type of neoplasm-whether benign or malignant.
    The reason is, for benign neoplasm only a median pancreatectomy and probably the diagnostic laparoscopy will end up getting paid.

Similar Threads

  1. Lap Pancreatectomy with lap Spleenectomy
    By brownie in forum General Surgery
    Replies: 3
    Last Post: 08-27-2013, 11:52 AM
  2. Pancreatic cancer or metestatic pancreatic cancer
    By millortsui in forum Diagnosis Coding
    Replies: 1
    Last Post: 07-11-2013, 12:58 PM
  3. exp lap, debride necrosis pancreatic fat, Vac abdo drains
    By dollyfader in forum General Surgery
    Replies: 1
    Last Post: 09-20-2011, 01:18 PM
  4. Lap Median Arcuate Ligament Release
    By cmblocher in forum General Surgery
    Replies: 1
    Last Post: 12-09-2009, 01:33 PM
  5. Help with lap pancreatectomy
    By MEZIESKY in forum General Surgery
    Replies: 0
    Last Post: 01-15-2009, 08:39 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?


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.