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Lap appy converted to open w/ open hemicolectomy

*** Couldn’t delete *** I think it’s bundled since it went from lap to open where if it stayed lap, they both would have been billable?

Pt came in w/ severe acute appy w/ peritonitis. Went in lap but had to convert to open – had to do a RT hemicolectomy due to abscess.

Path confirms this.

What do I use for the appy code?

Medical Billing and Coding Forum

Scope appy w/ umbilical hernia repair

Would like you thoughts on this: Surgean makes umbilical port incision, inserts scope, encounters an incarcerated umbilical hernia. Repairs this without mesh. Proceeds with the laparoscopic appy which is uneventful. CCI edits allows 49653 (hernia repair) and 44970 (appy) in that order.
My quandary is; incision is made in the umbilical area for the scope port, and that incision is repaired on the way out as a matter of procedure, so would these would these two codes be correctly billed together, or is this one of those times that CCI might not provide the best guidance?
Thanks,
Chuck, CPC

Medical Billing and Coding