Key CPT Codes
| CPT | Descriptor | wRVU | Medicare estimate | Global |
|---|---|---|---|---|
| 44900 | I&d appendix abscess open | 12.26 | $743.84 | 90 |
| 44950 | Appendectomy, open | 10.34 | $605.56 | 90 |
| 44955 | Appendectomy, during another procedure | 1.49 | $74.82 | 0 |
| 44960 | Appendectomy; for ruptured appendix with abscess or generalized peritonitis | 14.14 | $825.00 | 90 |
| 44970 | Laparoscopy, surgical, appendectomy | 9.21 | $578.17 | 90 |
| 44979 | Unlisted laparoscopy procedure, appendix | 0 | $0.00 | 90 |
Coding Decision Points
- Separate open appendectomy, ruptured appendix with abscess/peritonitis, and laparoscopic appendectomy.
- Do not use the ruptured code just because the appendix is inflamed; the note must support abscess or generalized peritonitis.
- Incidental appendectomy has separate coding logic when performed during another operation.
Common Documentation Gaps
The op note should state approach, perforation status, abscess or generalized peritonitis when present, contamination, specimen removal, and whether appendectomy was incidental or the primary operation.
FAQ
What is the CPT code for laparoscopic appendectomy?
CPT 44970 is the standard laparoscopic appendectomy code.
When is 44960 used?
Use 44960 for open appendectomy for ruptured appendix with abscess or generalized peritonitis when documented.