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Thread: Laparotomy

  1. #1
    Join Date
    Apr 2007
    Kansas City, MO

    Question Laparotomy

    AAPC: Back to School
    Physician performed an exploratory laparotomy, pelvic washings, excision
    of vaginal cuff mass (focal fibrous scarring with small amounts of
    non-refractile foreign material present), omental mass (focal
    interstitial hemorrhage and focal subserosal fibrosis), right pelvic
    sidewall cyst (hemorrhagic cyst with hemosiderine and fibrosis),
    anterior pelvic wall cyst (granuloma to old refractile suture material).
    There was also extensive lysis of adhesions due to previous surgeries.

    My first thought was 49203 but I'm not entirely comfortable with it based on the pathology. Then there is the vaginal cuff mass. Any opinions welcome.
    Angela Jordan, CPC
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


  2. #2


    To bill 49203 you need to have the size of the mass or tumor as these sets of codes explain.

    L.Ivonne Garcia CPC
    TUcson, AZ

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