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Small Bowel Resection

Melissa Posted Mon 27th of January, 2020 10:34:57 AM
Hello, I need help with this operative report: The post op diagnosis is Small bowel obstruction , significant adhesive disease, left lower quadrant hernia, small bowel enterotomy, small bowel serosal tears. The procedure is described as a Diagnostic Laparoscopy converted to exploratory laparotomy, small bowel resection, primary repair of ventral hernia, repair of multiple serosal tears. thanks
SuperCoder Answered Tue 28th of January, 2020 05:07:09 AM
Hi Melissa nbsp Thank you for the Question nbsp As per the above provided limited documentation CPT codes for small bowel resection for primary repair of ventral hernia nbsp amp for the repair of multiple serosal tears seems appropriate Note AS per NCCI edit CPT Code is a column code...
Melissa Posted Tue 28th of January, 2020 09:27:41 AM
Thatnk you in reviewing the detailed operative report it says that he also performed extensive lysis of adhesions of the small bowel to ant abd wall small bowel interloop adhesions and omental adhesions in an attempt to gain further access to the abdominal cavity lysis of adhesions was carried out...
SuperCoder Answered Wed 29th of January, 2020 02:29:50 AM
nbsp Thank you for the Question nbsp nbsp CCI edits bundles the primary procedure code small bowel resection with the appropriate enterolysis code we can only override the edit pair if the surgeon performs the lysis of adhesions at a different anatomic site or during a different operative session In...
Melissa Posted Wed 29th of January, 2020 09:18:23 AM
So based on the above documentation, the correct coding would be 44120-22, 44604-59-51, 49561-59-51. Is that accurate? Thank you
SuperCoder Answered Thu 30th of January, 2020 02:05:31 AM
Hi nbsp Yes the suggested code s - - - - - are most relevant to the above limited provided documentation We suggested code for serosal tear but as per CCI edit CPT code is showing the bundling conflict between code So it is advised to go through your detailed...
Melissa Posted Thu 30th of January, 2020 08:16:46 AM
Thank you very much!
SuperCoder Answered Thu 30th of January, 2020 23:22:37 PM

Thank you, happy to help.

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