Other specified procedure converted to open procedure

This code signifies that a minimally invasive or percutaneous surgical procedure was initiated but, due to unforeseen circumstances or complications, had to be converted to an open surgical approach during the same operative session. It indicates a change in the surgical technique from a less invasive method to a more traditional, open incision.

Use this code when documentation clearly states that a planned laparoscopic, endoscopic, or other percutaneous procedure was aborted and completed via an open incision. This often occurs due to poor visualization, uncontrolled bleeding, anatomical difficulties, or equipment failure necessitating a more direct surgical field.

• Ensure the operative report explicitly states the conversion from a less invasive to an open procedure.
• This code is typically a secondary diagnosis, accompanying the primary diagnosis for which the surgery was performed.
• Do not use if the procedure was planned as open from the outset, or if a separate, distinct open procedure was performed later.