Wiki Diagnostic Lap with Graham's patch - duodenal perforatios

[Trendale]

Hello,
Please help with the following PX:

The physician did a diagnostic Lap with Graham's patch( a surgical techinque that is used to close duodenal perforatios. A piece of omentum is used to cover the perforation). DX: peritonitis secondary to anastomitic leak

The patient just had bariatric surgery 24 hours prior. The only code I found was 49329 unlisted.

49329-78
1.997.4
2.567.9

Is any of those codes correct?

 

[LTibbetts]

the CPT 49326 looks like a good one to use but it is an add-on code for 49324 or 49325 and neither of those look good so my next guess would be the unlisted code you chose.

 

[Trendale]

Reply

Thanks!

 

[iluvicd9]

Graham Patch

We use 43659 for a lap Graham Patch.

 

[vikas.maheshwari]

i think 44799 is the perfect choice for this procedure as far 43659 concern it is a laparoscopic procedure so you cannot bill this until the procedure did not mention laparocopic.


Thanks,

Vikas Maheshwari
MBA-HCS, CPC-H
vikashmaheshwari@gmail.com

 

[billing@austinelevate.com]

You should use code 49329 "Unlisted laparoscopy procedure, abdomen,peritoneum and omentum." This is a more definite code for the omental patch.