mschrist3
Contributor
I am from an Illinois ASC and we had a case recently that the Lap Chole had to be converted to open due to gallbladder inflammation. The open Cholecystectomy is not on the approved procedure list-we billed the open and have been appealing. My Physcian director thinks I should have billed the Lap Cholecystectomy as that was the intent and the procedure was 50% completed as Lap not open. I disagree I say we must bill what the procedure actually was. Does anyone have a good reference regarding coding of surgical procedures that have to converted during the surgical sessions.