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Wiki 11044 vs 27884 & appy vs laparoscopy

gbehrendt

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pt has a stump ulcer w exposed bone: dr did an incision to excise open area of skin, electocautery used to elevate periosteum of tibia, he then transected 5cm w reciprocating bone saw, the fibula was resected as well.
posterior myocutaneous flap was brought up and sutured. im not sure which
of the above codes to use for this procedure. i would greatly appreciate some help or suggestions.
i also have a question regarding a laparoscopy vs appendectomy and the issue i have is dr says he did a laparoscopy w lysis of adhesions w incidental appy and our hospital billers are using appy as the primary procedure. i was just wondering if anyone has any thoughts on this.
thank you for your help
 
I would go with 27886 with dx 997.69. your second question is LOA because appy was incidental and not billable
 
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