tci General Surgery Coding Alert - 2024 Issue Q2

Reader Questions: Adhere To This Appendectomy Advice

Question: Our surgeon began a laparoscopic appendectomy for a patient with signs of an infected appendix, including sudden pain around the navel that shifted to the right lower abdominal quadrant, along with nausea. During the operation, the surgeon discovered a ruptured appendix accompanied by inflammation within the abdominal cavity. Consequently, the surgeon transitioned to an open procedure. The surgeon also performed debridement and lavage to remove infected tissue and fluid but made no mention of perforation or abscess. How should we code the service? AAPC Form Participant Answer: The codes for the two procedures — open or laparoscopic appendectomy...

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