Wiki Excisional debridement with Hernia repair

[marycpc]

One of the surgeons did an: Exploratory laparotomy with repair of right strangulated femoral hernia with Bio A plug and a flat Bio A underlay, Excisional debridement and washout of right labia, primary repair of incisional hernia

During this surgery, a partial cecectomy was done. Does anyone know if there is a specific code for that procedure?

I was hoping someone could give my a second opinion on the codes I used for the above described surgery. I used 44799 (partial cecectomy), 49533 (strangulated femoral hernia repair), and 11005 (excisional debridement of necrotizing skin). Any information would be appreciated.

Thanks,
Mary

 

[Lujanwj]

Was this for an Appi, if not what's the DX for the cecetomy? Most of time I see this is when they are doing an appi and it that case you could try a -22 on the appi but payer will probably consider "incidental to" for removing margins of appi. If it's for a removal of a lesion, that's an unlisted 44140-52 (52 for no anastomosis) or 44799.

 

[marycpc]

This was not an Appi, the partial cecectomy was done because part of the cecum was strangulated and incarcerated, the Dr also said it was closer to an appendectomy than a partial colectomy (which is what I was thinking) BUT an appendectomy was not performed. So, I guess 44799 it is and a copy of the report.