I would appreciate any help with this complicated bowel case. On 1st day pt. taken to OR for Exp. Lap,release of internal hernia, small bowel resection for ischemic bowel (not anastomosed until 2nd day), extensive (>45mins) lysis of adhesions, 12 liter peritoneal lavage. Planned to bring this pt. back next day to see if anastomosis of bowel could be done along with abdominal washout.
2nd day doc reopened pt. completed the small bowel anastomosis, repair of serosal tear along with washout.
I'd like to append 22 modifier to Day 1 but if I bill the 44120 I would have to append the 52 since he didn't complete the anastomosis. all else seems inclusive so it really needs to be submitted with the 22.
Day 2 - would that be 44130-58?
Not sure how to report these 2 cases. Anyone have any ideas?
2nd day doc reopened pt. completed the small bowel anastomosis, repair of serosal tear along with washout.
I'd like to append 22 modifier to Day 1 but if I bill the 44120 I would have to append the 52 since he didn't complete the anastomosis. all else seems inclusive so it really needs to be submitted with the 22.
Day 2 - would that be 44130-58?
Not sure how to report these 2 cases. Anyone have any ideas?
