Wiki Cecectomy with appendectomy

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GIBBERS

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Does anyone know if a open 'Cecectomy w/appendectomy' would be coded using CPT 44140/+44955 (Partial colectomy with add-on appendectomy)

The Surgeon went to do an appendectomy but after finding out there was a perforation, he ended up needing to remove the cecum as well as the appendix.

Thanks!
 
I am not able to post the surgery but I can let you know that the end result was removal of the appendix along with a small portion ot the cecum.

I am not sure if this would code as a 'partial colectomy' with removal of appendix or just 'removal of appendix' with maybe modifier 22? Or, would it just be part of an 'open' appendectomy?
 
If the surgeon removed the Terminal Ileum the open code would be 44160. Otherwise I would just code the partial Colectomy. Its hard to say for sure without the op-note.

Michael Reyland, CPC, CIRCC
Surgical Specialists of Georgia
 
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