tci General Surgery Coding Alert - 2009 Issue 2

Know When to Appeal for Separate Procedures

Question: I submitted a claim for the removal of a pd cath from right side of abdomen (49422) and laparoscopic insertion of a new pd cath on left side of abdomen (49324). The insurance company denied the removal as being included in the first procedure. It was two separate procedures with separate incisions. Am I correct to report both codes and appeal this denial? New Jersey Subscriber Answer:You are correct to report both codes. You should use 49422 (Removal of permanent intraperitoneal cannula or catheter) for the pd catheter removal and 49324 (Laparoscopy, surgical; with insertion of intraperitoneal cannula...

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