CPT^® 44205, Under Laparoscopic Excision Procedures on the Intestines (Except Rectum)

The Current Procedural Terminology (CPT^®) code 44205 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Excision Procedures on the Intestines (Except Rectum).

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Summary

The provider performs laparoscopic partial colectomy with removal of the end of the ileum and connection of the remaining ileum and colon segments.

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+44955- Laparoscopic or Open only?

Was the terminal ileum taken? Check the path, it will usually say. Usually ileocolic resections that include the cecum also include the terminal ileum. If that is the case, the correct code would be 4... [ Read More ]

Coding question

Can I bill 44204 and 44205 together, Medicare is the payer? If not, any work around? Thx... [ Read More ]

2 distinct colon resections in the same operative session

You are correct in stating that 44207 and 44205 can't be billed together. I wouldn't use the modifier 22 either. The procedures according to my desk reference are similar until a certain point in the ... [ Read More ]

2 distinct colon resections in the same operative session

I have a provider who did an ileocecetomy and rectosigmoid resection in the same operative session. He is wanting to bill 44207 and 44205 at the same time. I informed him these codes are bundled and s... [ Read More ]

Colectomy

The surgeon notes "remainder the mesentery is divided to the small bowel which is divided', so with that and the release of the terminal ileum with the appendix, I would choose 44205.... [ Read More ]

Colectomy

Hello, would you code the below as 44204? I see that the terminal ileum was released, so I didn't know if I should lean toward 44205. Thanks in advance for any help In the supine position with approp... [ Read More ]

49204 and 49205

So even though there isn't an ileocolostomy you can still use 44205? I'm stuck on a case right now where my provider performed a robotic assisted Ileocolectomy with intracorporeal anastomosis with rem... [ Read More ]

49204 and 49205

[b]CPT 44205 (if terminal ileum removed)[/b] Hello, I would code CPT 44205 (if terminal ileum removed) modifier 22 since 1 hour spent on the adhesions is documented, S2900 (I know MCR/MCD do not pay... [ Read More ]

laparoscopic ileocecectomy

What would be a the cpt code for a laparoscopic ileocecectomy, with takedown of entercutaneous fistula anda drain placement in the fistula cavity,?, would it just be 44205? Thanks... [ Read More ]

Complicated Colon Surgery

I agree with the 44207 and 44205. And yes unfortunately the 44205 is bundled to 44207. These cases really frustrate me because I can't understand that bundling logic. If it were an open procedure y... [ Read More ]

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