1. Tonya Davis
   Posted 3 months ago #
   

   Doctor attempted a LAVH. Had to convert to open due to adhesions. After freeing adhesion off the pelvic sidewall and the omentum the note reads: The appendix had been adherent to the uterus posteriorly that had been dissected off. It was irritated and inflamed at this point." So the appendix was removed.

   I feel that this would be cpt 44955 but what diagnosis?

   Thanks..this is a new one.

2. SuperCoder
   Posted 3 months ago #
   

   I would use:

   '540.9' http://www.supercoder.com/icd9-code/?range=540-543&code=540.9#540.9 Acute appendicitis without peritonitis

   'V64.41' Laparoscopic surgical procedure converted to open procedure

   Jen Godreau, CPC, CPMA, CPEDC
   Director of Development & Operations
   SuperCoder.com and Coding Institute, LLC

3. Tonya Davis
   Posted 3 months ago #
   

   Thanks Jennifer for your help!

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