Medical Billing Forum
Coding => Coding => : sheli2084 April 20, 2020, 09:13:38 PM
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I have a case for a patient who had a lap sleeve done, code 43775 was billed/paid no problem. 2 days later the pt was back in the hospital with a perforation of the staple line for that sleeve. Op note states this second procedure done as a "lap repair of gastric perforation and omental patch". I coded it as 43659 for an unlisted lap procedure of the stomach and insurance keeps denying as "more appropriate code can be billed". I have appealed twice with the op note and they continue to deny. For the life of me I can't find another, more appropriate code. The codes I find are either repairs of perforations done but caused/related by other issues such as ulcers, or obviously there are open procedure codes...Does anyone know something I am missing?
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Not my area of expertise, but what about 49329?