Keitha L Scheib
Guest
My physician started with a lap lysis of adhesions and enterolysis(44180), made accidental enterotomy x 2 and went to an open procedure(49000) to close those and finish the lysis and enterolysis. My question is since the procedure went to open should that be the code billed or should I bill the lap service as most of the work was done that way? Per CCI edits they cannot be billed together. If I bill the open procedure would it be appropriate to use a 22 modifier and a higher price?