tci General Surgery Coding Alert - 2007 Issue 8

READER QUESTIONS: Difficult Lap Appendectomy Calls for 22

Question: There are different codes for open appendectomy depending on whether the appendix is ruptured or not, but only a single code for laparoscopic appendectomy. This seems incorrect because appendec-tomy of a ruptured appendix is more difficult, takes longer and requires more inpatient post-op care than one that is not ruptured, even when performed laparoscopically. Can I report a laparoscopic appendectomy for a ruptured appendix as 44960?Michigan Subscriber Answer: You should definitely not report 44960 (Appendectomy; for ruptured appendix with abscess or generalized peritonitis) for a laparoscopic approach. CPT rules outlined in the manual's introduction specifically state, -do...

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