Billing an Appendectomy with Another Surgery

Billing an Appendectomy with Another Surgery

January 4, 2018

Is an appendectomy separately reported when done with another abdominal procedure?

If the appendectomy is performed for a medically indicated purpose, for example the appendix was involved in the disease process, it can be reported with an add-on code, +44955. See the description of this code below. No modifier would be appended to this code and you should expect 100% reimbursement since add-on codes are valued lower since they are always reported with another procedure.

44955: Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure

*This response is based on the best information available as of 01/04/18.

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