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Laparoscopic Bypass converted to open, back to laparoscopic

Lee Posted Wed 12th of September, 2012 15:19:40 PM

It was the intention of the physician to initially perform a laparoscopic bypass. Physicain had trouble tracing the bowel and a umbilical hernia defect, therefore it was elected to covert to open. As creation of the gastrojejunostomy would require significant
extension of the incision superiorly, it was elected to perform the
gastrojejunostomy laparoscopically. How should this preocedure be billed?

SuperCoder Answered Wed 12th of September, 2012 16:29:48 PM

Unfortunately, coding for lap procedures hasn't kept up with technology. If no precise procedure or service code exists, you should report the service "using the appropriate unlisted procedure or service code," state the CPT Instructions for Use in the CPT manual. CPT includes unlisted-procedure codes to allow you to report procedures for which there is no specific CPT descriptor available. When there is an established

43659 (Unlisted laparoscopy procedure, stomach) is the proper code to report.

Use V64.41 as a additional Dx

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