2025 CPT code 44960
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Appendectomy for a ruptured appendix with abscess or generalized peritonitis.
Modifiers may be applicable. Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity is established by the presence of a ruptured appendix with an abscess or generalized peritonitis, a life-threatening condition requiring surgical intervention.
The surgeon preps and anesthetizes the patient, makes the incision, drains any abscess, removes the appendix, irrigates the area, and closes the incision, sometimes leaving a drainage tube.
In simple words: This procedure removes a burst appendix that has caused an infection in the abdomen. The surgeon makes a cut to drain the infection, removes the appendix, and may leave a small drain in place.
Surgical removal of a ruptured appendix in the presence of an abscess or generalized peritonitis. This procedure involves an incision in the right lower quadrant, drainage of any abscess, irrigation of the abdomen, removal of the appendix, and closure of the incision. A drainage tube may be left in place.
Example 1: A patient presents with severe right lower quadrant pain, fever, and signs of peritonitis. Imaging reveals a ruptured appendix with a localized abscess. Code 44960 is used for the appendectomy., A patient with a history of abdominal pain is admitted with generalized peritonitis. A ruptured appendix is found during surgery. Code 44960 is reported., A patient experiences sudden, severe abdominal pain.A CT scan reveals a ruptured appendix and free fluid in the abdomen. The surgeon performs an appendectomy to remove the ruptured appendix and address the generalized peritonitis. Code 44960 is appropriate.
Documentation should include operative report detailing the findings of a ruptured appendix, the presence of an abscess or generalized peritonitis, the procedure performed, and any complications encountered.
- Revenue Code: P1G
- Payment Status: Active
- Specialties:General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center