1. maarit v
   Posted 3 months ago #
   

   PT had small bowel obstruction due to incarcerated ventral hernia. Component separation had to be done on both sides to achieve closure of the fascia. The hernia sac was excised by open method, so was small bowel resection. Component separation was assisted with a laparoscope on one side and done through open method on the other. There seems to be no code for lap 15734. Would it be appropriate to just bill 15734 -50 in this case?
   Thank you for your assistance.

2. SuperCoder
   Posted 3 months ago #
   

   Yes, Lap code is not there. If you are talking about specific CPT 15734, then it is for (myocutaneous or fasciocutaneous flap; muscle or fascial flap) and can't be billed bilaterally as Medicare has not assigned 150% bilateral payment for this code. Payment for two sides is lower of actual charge for both sides or fee schedule amount for single code. Therefore, you should only bill 15734 rather 15734-50.

RSS feed for this Question