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

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

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