Search Sort Posts:  Oldest to newest Newest to oldest

06-23-2010, 3:29 PM healingtouch Joined on 06-24-2010 Posts 1 coding advice I am new to this - still learning and wanted advice on this one. Dr did 1) lap chole 2) lap lysis of adhesions, converted to open for lysis of adhesions 3)repair of iatrogenic small bowel injury. how would you bill this one?    Report

07-01-2010, 3:17 PM Barb S. Joined on 12-21-2005 Posts 420 Re: coding advice Code the lap chole. Lysis of adhesions is usually inclusive, though you can add a 22 modifier to the lap chole procedure code.    Report

07-16-2010, 2:06 PM Mary1974 Joined on 07-16-2010 Posts 3 Re: coding advice I believe you gave the wrong advice here. You must specify that the coding would be lap converted to surg which codes to cpt 47600. Both the CPT and ICD codes are different for lap chole vs. a lap chole converted to open. You also would not use the 22 mod because the lysis of adhesions is inclusive of the procedure. Mary Caparelli CCS    Report

08-02-2010, 5:44 AM born 2 code Joined on 12-03-2007 florida Posts 72 Re: coding advice Mary, I have few questions for you, hope you don't mind to clarify me. Lap chol is already done, so how to get reimbursement for that skill. During termination of the procedure, the Doc is forced to do adhesiolysis, and the only way to get reimbursed for open enterolysis is to add Mod.22 as this procedure is inclusive. If you code only 47600, you are not reporting the usage of Laparoscope and you are changing the entire type of procedure. As Barb told you need to charge for Lap chol and use Mod.22 and produce the Medical Records for medical necessity. Chris CPC, CCS    Report

08-02-2010, 7:35 AM Mary1974 Joined on 07-16-2010 Posts 3 Re: coding advice When a laparoscopic procedure is converted to open, you code the procedure as open. If you add a mod 22 to a procedure that is inclusive of another, you are overcoding. You would not need to code the laparoscopic portion of the procedure because you code the procedure to the fullest extent to which it was completed in this case, it was laparoscopic converted to open.    Report

08-04-2010, 2:02 AM born 2 code Joined on 12-03-2007 florida Posts 72 Re: coding advice Ok thanks.    Report

UnicorMed Forum... » General » Coder-To-Coder ... » Re: coding advice

(please select) Forums Home |- Search Forums |- Active Topics |- Unanswered Posts User Options |- Sign In |- Join this community |- Forgot Password General |- Coder-To-Coder Forum