tci General Surgery Coding Alert - 2020 Issue Q1

You Be the Coder: Don’t Miss Laparotomy Pay

Question: Our surgeon returns a patient to the OR four days following an open partial colectomy due to increasing abdominal pain, bloating, and suppurative inflammation of the wound site. The surgeon opens the surgical site and performs lavage to cleanse and view organs. Should we report this as 49084? Iowa Subscriber Answer: No, code 49084 (Peritoneal lavage, including imaging guidance, when performed) is not the appropriate code to report the surgery you describe. Although the note states that the surgeon performs lavage, that’s really just a small part of the work. In fact, 49084 typically involves just a...

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