What is the code for a duodenotomy performed for exploration?

The appropriate code for a duodenotomy performed for exploration is 44120. This code specifically refers to an exploratory procedure of the duodenum, which involves making an incision into the duodenum to either perform an investigation or address certain conditions.

In procedural coding, it is crucial to select the code that most accurately reflects the procedure that was performed. The coding guidelines dictate that if a procedure is exploratory with no definitive surgical intervention or diagnosis made, the code for the exploration should be used—in this case, 44120.

The other codes listed are associated with different procedures or anatomical sites. For instance, 44010 pertains to enterotomy or surgical procedures on the small intestine, while 38230 refers to procedures related to the lymph nodes in the neck and 34101 relates to the thoracic duct or adjacent structures. As a result, they do not apply to a duodenotomy, making them unsuitable for this situation.

Selecting the correct code is essential not only for accurate billing but also for ensuring that best practices in coding and documentation are maintained within medical records.