Sep 1, 2000 · Answer: First, determine the >CPT® codes for each aspect of the procedure performed. In this case, 49320 (Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen[s] by brushing or washing [separate procedure]), 49000 (Exploratory laparotomy, exploratory celiotomy with or without biopsy[s] [separate procedure]), …

Apr 2, 2008 · Hi, Can someone tell what code(s) is used for Exploratory Laparotomy, Lysis of Adhesions, and release of small -bowel obstruction? I have code 49000 and I believe the lysis of adhesions release is included(44005)? There is no mention of a separate incision in the report, so will it be bundled in?, or is this coded separate with a 59 and 51? Thanks!

May 9, 2009 · Answer: You should always bundle the exploratory laparotomy (49000, Exploratory-laparotomy, exploratory celiotomy with or without-biopsy[s] [separate procedure])-with an abdominal procedure. You bill for the removal of the mass.-But you would have to refer to your op note and the pathology report.

Dec 1, 1999 · Often, coders rely on the CPT index when billing for reopening a laparotomy. The index directs them to 49002 (reopening of recent laparotomy). But under certain circumstances, they can use 35840 (exploration for post-operative hemorrhage, thrombosis or infection; abdomen) for the procedure and receive a slightly higher reimbursement.

Jul 21, 2021 · If doctor performed a laparotomy, with small bowel resection, leaving the abdomen open, and returned to close it 2 days later, should I use cpt 49900 or 13160? There was no necrotic tissue debridement. He simply removed the wound VAC and sutured the abdomen. "After informed consent was...

Sep 2, 2021 · I am hoping to get some clarity on the correct code for Laparoscopic Right Salpingo-oophorectomy w/ mini laparotomy. Total- 6cm long incision was made in order to remove the specimen. (Cyst was 12cm) A 15cm bag was used. From what I can tell the code would probably be 58661, but a lot of work was done besides just a straight forward 58661.

Sep 17, 2013 · PROCEDURE: Exploratory laparotomy, right hemicolectomy. ANESTHESIA: General endotracheal. She presented with severe abdominal pain which began last night. She had some vague, very intermittent symptomatology over the past year. CAT scan done today shows a cecal volvulus. She has a mildly tender abdomen.

Sep 1, 1999 · If you will take a look at the note that precedes the laparoscopic section of CPT you will notice that it says, When the laparoscopy requires mini-laparotomy (Hasson technique) or when secondary procedures involve significant additional time and effort, they may be reported by using the modifier -22 (unusual procedural services) or code 09922.

What is a laparotomy? A laparotomy is a surgical procedure that allows a surgeon to diagnose and treat certain pelvic and abdominal conditions. This type of surgery is not considered a minimally invasive procedure and is done in a surgical center under anesthesia. Where and how big your incision is depends on why you are having the surgery.

The Current Procedural Terminology (CPT ®) code 44602 as maintained by American Medical Association, is a medical procedural code under the range - Repair Procedures on the Intestines (Except Rectum).