EngageMed2
Contributor
Can someone explain the difference between these 2 NCCI edits? They seem to contradict each other. NCCI manual Chapter 6
-If closure of a fistula requires excision of a portion of an organ into which the fistulapasses, excision of that tissue shall not be reported separately. For example, if closure ofan enterocolic fistula requires removal of a portion of adjacent small intestinal tissue anda portion of adjacent colonic tissue, closure of the enterocolic fistula (CPT code 44650)includes the removal of the small and large intestinal tissue. The excision of the smallintestinal or colonic tissue shall not be reported separately.
-If an excised section of intestine includes a fistula tract, a fistula closure code shall not be reported separately. Closure of the fistula is included in the excision of intestine.
All that I see, when surgeon is doing a takedown fistula w/Hartmans with bladder repair they say to bill 44661but I sent one to our auditor and they say to bill colon resection, not 44661.
Any help is appreciated
-If closure of a fistula requires excision of a portion of an organ into which the fistulapasses, excision of that tissue shall not be reported separately. For example, if closure ofan enterocolic fistula requires removal of a portion of adjacent small intestinal tissue anda portion of adjacent colonic tissue, closure of the enterocolic fistula (CPT code 44650)includes the removal of the small and large intestinal tissue. The excision of the smallintestinal or colonic tissue shall not be reported separately.
-If an excised section of intestine includes a fistula tract, a fistula closure code shall not be reported separately. Closure of the fistula is included in the excision of intestine.
All that I see, when surgeon is doing a takedown fistula w/Hartmans with bladder repair they say to bill 44661but I sent one to our auditor and they say to bill colon resection, not 44661.
Any help is appreciated