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Wiki 44140 Colectomy,47600 Cholecycstectomy

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sjfarnsworth

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Laparotomy-Sigmoid Colectomy with anastomosis, Spenic flexure mobilization, Cholecystectomy (for symptomatic cholelithiasis).

44140
+44139
47600-59

45330 (flexible sigmoidoscopy done before beginning the open portion of surgery to locate the fistula area) Would this be billable for mcare pt? I found a CCI edit that shows it's bundled with the 44140 but it looks as if a modifier is allowed?

I would love to hear from fellow coders.
 
I'd suggested 44140 47600 44139. No modifier -59 needed on the chole but a -51 if your payer requires. You can tried to unbundle the scope if you can show separate and distinct at that point you would used the -59 on the scope. However, it kinda of sounds like it was part of 44140. Either way your call.

Good luck.

P.S. Be careful with your usage of -59. Use when necessary but be sure to use correctly. Could call in an audit.
 
Fro your description of why the scope was done, I would not bill it. It sounds like it was part of the bigger picture.
 
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