AHA Coding Clinic® for ICD-9 - 2011 Quarter 1; Ask the Editor
Laparoscopically-Assisted Right Hemicolectomy
A patient presented with a malignant neoplasm of the hepatic flexure of the colon and underwent laparoscopically-assisted right hemicolectomy. What is the correct code assignment for a laparoscopic-assisted right hemicolectomy? Should code V64.41 , Laparoscopic surgical procedure converted to open procedure, be assigned as an additional diagnosis? ...
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Article Overview
This coding article focuses on a laparoscopically assisted right hemicolectomy in the setting of colon cancer and explains how the procedure should be categorized in the relevant procedure code set. It also discusses whether a separate diagnosis code for conversion from laparoscopic to open surgery should accompany the case. The content is useful for coders, CDI staff, and billers working with colorectal surgery and surgical coding classification issues.
Why This Topic Matters
Determining the correct procedure classification affects accurate reporting, data integrity, and downstream reimbursement and quality tracking. This topic is especially relevant when a surgery begins laparoscopically but is performed or completed through an open approach.
Article Sections
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Coding Question
Introduces a coding scenario involving a colon malignancy and a laparoscopically assisted right hemicolectomy. Presents the main reporting question addressed by the article.
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Code Assignment Guidance
Discusses the procedure classification used for the operation in the applicable code set. Addresses how the case is grouped when the procedure is not considered a true laparoscopic service.
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Additional Diagnosis Code Consideration
Addresses whether a separate diagnosis code related to conversion from laparoscopic to open surgery should be reported with the case.