Pia Posted Thu 05th of November, 2015 14:19:41 PM
The surgeon wrote: open cholecystectomy with takedown of the cholecysto-colonic fistula, primary closure of the fistula present in the colon with double layer closure with massive intra-abdominal irrigation. We coded 47600 for the open chole, 44650 for the fistula and 49020 for the massive irrigation of the spilled abscess.
Insurance request op-note and consequently denied all but 47600. Are they right?
SuperCoder Answered Fri 06th of November, 2015 03:33:08 AM
Thanks for the question,
As, I have seen all the CPT codes are valid code for the scenario given. May be they have some confusion in these services, so please provide them op-note as they required for this claim or you can query them regarding denial. Coding part is correct.