tci General Surgery Coding Alert - 2010 Issue 1

You Be the Coder : Can You Seek Multiple Lap Fees?

Question: Following an intraumbilical incision and entering the abdominal cavity with a laparoscope, our surgeon performed the following procedures: • Removal of left ovary and cyst • Enterotomy with removal of gallstone from the jejunum and enterotomy closure • Liver biopsy. Are we allowed to report all three procedures, and if so, which codes should we use? Tennessee Subscriber Answer: Yes, you should be able to report all three services. The correct codes for the three procedures are: • 58661 -- Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy ) • 44238 -- Unlisted...

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