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tci General Surgery Coding Alert - 2009 Issue 13
READER QUESTIONS: Open to Lap Conversion Doesn't Equal V64.41
Question: The surgeon is doing an open hernia repair through a small incision. He repairs the hernia and then puts in a port using the same incision for a lap chole and repairs this as well. I usually would use the conversion to an open procedure diagnosis code V64.41. But this case isn't a conversion from lap to open, but open to lap. How do I report this type of procedure? Minnesota Subscriber Answer: In this case, you cannot separately report the hernia repair. You can't code for the repair of a hernia (an abdominal wall defect) when...
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