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Laparoscopic Appendectomy & Drainage of Pelvic Abscess with Lysis of Adhesions

Oscar Posted Thu 04th of June, 2015 10:56:44 AM

Please answer the following coding question:

Pre & Post-op Dx: 1) Acute appendicitis
2) Right ovarian abscess
3) Intra-abdominal adhesions

Procedures:
1) Laparoscopic Appendectomy
2) Drainage of Pelvic Abscess
3) Lysis of Adhesions

Here my question is what is CPT code for Laparoscopic drainage of Pelvic Abscess and can we bill both Lap appendectomy & Lap Pelvic abscess drainage.
Please clarify.

SuperCoder Answered Fri 05th of June, 2015 02:05:31 AM

Ans1. CPT code for laparoscopic drainage of pelvic abscess is 49322.

Ans2. Code 44970 (laparoscopic appendectomy) is a column 2 code for 49322, but a modifier is allowed in order to differentiate between the services provided. If the anatomic location of pelvic abscess is away from appendix, then we can code both the codes. You need to append modifier XS (separate location) to CPT code 49322.

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