2025 CPT code 44970
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Laparoscopic appendectomy.
Modifiers may be applied depending on the circumstances of the procedure (e.g., 59 for a distinct procedural service, 22 for increased procedural services, 51 for multiple procedures). Consult the CPT manual for specific modifier usage guidelines.
A laparoscopic appendectomy is medically necessary for the treatment of appendicitis to prevent complications such as perforation, abscess formation, and peritonitis.The procedure is generally considered the standard of care for appendicitis, especially in cases of uncomplicated disease.
The surgeon is responsible for all aspects of the procedure, including patient preparation, anesthesia administration (if applicable), surgical technique, and post-operative care.This may involve collaboration with anesthesiologists and other healthcare professionals.
In simple words: The surgeon removes the appendix using a laparoscope, a thin tube with a camera, inserted through small incisions in the belly.This less invasive approach typically results in less pain and faster recovery compared to traditional open surgery.
Laparoscopic appendectomy is a minimally invasive surgical procedure to remove the appendix through several small incisions in the abdomen.The surgeon inflates the peritoneal cavity with carbon dioxide, inserts a laparoscope for visualization, and uses instruments through additional ports to dissect and remove the appendix. The surgical site is closed with sutures or staples. This procedure is indicated for the treatment of appendicitis.
Example 1: A 25-year-old female presents to the emergency department with acute right lower quadrant pain, fever, and nausea consistent with acute appendicitis.A laparoscopic appendectomy is performed, and the appendix is found to be inflamed but not perforated. The patient is discharged home the same day., A 16-year-old male is admitted to the hospital with suspected appendicitis.A CT scan confirms the diagnosis.A laparoscopic appendectomy is performed, and the appendix is found to be perforated with localized purulent material. The abdomen is irrigated, and a drain is placed.The patient recovers well and is discharged after several days of observation., A 60-year-old male presents with symptoms suggestive of appendicitis.During a laparoscopic exploration, the appendix is found to be normal. The procedure is then coded as a diagnostic laparoscopy.
* Preoperative diagnosis of appendicitis (clinical findings, imaging studies).* Operative report detailing the procedure (incisions made, instruments used, findings, specimens removed).* Anesthesia record (type of anesthesia used, vital signs during the procedure).* Pathology report on the removed appendix.* Postoperative progress notes.* Discharge summary.
** The global surgical package for laparoscopic appendectomy may vary depending on the payer and specific circumstances.Consult the payer’s policy for specific details.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier would apply depending on the setting and billing arrangements. Consult with the payer and relevant guidelines.
- Specialties:General Surgery
- Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital