The ICD-10-PCS code for a laparotomy with removal of the gallbladder is 0FT40ZZ, with the fifth character of the code (0) indicating that the procedure was performed via an open approach.
0DJW0ZZICD-10-PCS 0DJW0ZZ converts approximately to: 2015 ICD-9-CM Procedure 54.11 Exploratory laparotomy.
ICD-10-PCS Code 0DB80ZZ - Excision of Small Intestine, Open Approach - Codify by AAPC.
0FB24ZZ2022 ICD-10-PCS Procedure Code 0FB24ZZ: Excision of Left Lobe Liver, Percutaneous Endoscopic Approach.
Exploratory laparotomy is an abdominal surgery that doctors sometimes use to diagnose abdominal issues. It is usually recommended when other testing did not diagnose or fully resolve an issue. Reasons to perform this surgery include: Abdominal trauma (for example, from an accident)
A laparotomy is a surgical incision (cut) into the abdominal cavity. This operation is performed to examine the abdominal organs and aid diagnosis of any problems, including abdominal pain. In many cases, the problem – once identified – can be fixed during the laparotomy. In other cases, a second operation is required.
Resection is similar to excision except it involves cutting out or off, without replacement, all of a body part. Resection includes all of a body part or any subdivision of a body part having its own body part value in ICD-10-PCS, while excision includes only a portion of a body part.
ICD-10-PCS codeOperationApproach0BTF0ZZResectionOpen0BTF4ZZResectionPercutaneous endoscopic0BTG0ZZResectionOpen0BTG4ZZResectionPercutaneous endoscopic8 more rows
Answer: Although this was a reopening of a recent laparotomy, lysis of adhesions was the primary procedure performed and would be the only code billable. Coding rules would follow the same guidelines for 49002 just as they do for an exploratory laparotomy 49000.
ICD10Data.com is a free reference website designed for the fast lookup of all current American ICD-10-CM (diagnosis) and ICD-10-PCS (procedure) medical billing codes.
The U.S. also uses ICD-10-CM (Clinical Modification) for diagnostic coding. The main differences between ICD-10 PCS and ICD-10-CM include the following: ICD-10-PCS is used only for inpatient, hospital settings in the U.S., while ICD-10-CM is used in clinical and outpatient settings in the U.S.
In ICD-10-PCS, the values 027 specify the section Medical and Surgical (0), the body system Heart and Great Vessels (2) and the root operation Dilation (7).
When lithotripsy is performed on a common bile duct stone and the fragments are removed as part of the procedure, the root operation is fragmentation.
The bilateral ureter body part value is not available for the root operation Fragmentation, so the procedures are coded separately.