tci General Surgery Coding Alert - 2002 Issue 1

You Be the Coder: Necrotizing Pancreatitis

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer. Question: The patient is diagnosed with necrotizing pancreatitis. The surgeon performs an exploratory laparotomy with drainage and debridement of pancreatic phlegmon, cholecystectomy with exploration of the common bile duct, feeding jejunostomy, tube gastrostomy and sump drainage of the pancreatic bed through both flanks. How should this be billed?California Subscriber     Answer: Bill 48005 (resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis), 47610 (cholecystectomy with exploration of common duct), 44015 (tube or needle...

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