Conversion of Laparoscopic Procedure to Open


October 18, 2012


The surgeon in our practice performed a laparoscopic exploratory laparotomy that turned into a laparoscopic omentectomy. Do I bill the unlisted laparoscopy procedure 49329 or Omentectomy 49255 with modifier 52 reduced services?


Thanks for questioning whether you should report the appropriate unlisted code or the open omentectomy code with a reduced service modifier (52). The correct answer is the unlisted laparoscopic code, CPT code 49329. Unlisted laparoscopy procedure, abdomen, peritoneum and omentum.