AAPC - Back to school
Results 1 to 4 of 4

Thread: Serosal Tear?

  1. #1

    Question Serosal Tear?

    AAPC: Back to School
    The patient had mobilization of colon, flexible sigmoidoscopy, and decompression of small bowel/colon. Also He had a repair of serosal tear.

    All they did was suture large instentine. How would you code the repair of serosal tear?

    I have 44021 for decompression of small bowel
    45330 for diagnostic sigmoidoscopy
    and 44139 for mobilization of colon.

    Please help!

  2. #2


    try looking at the 44604 - suture of large intestine for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple); w/out colostomy

  3. #3
    Join Date
    Apr 2007


    44139 is for mobilization of splenic flexure to be used with codes 44140-44147.

  4. #4
    Join Date
    Apr 2007
    Kansas City, MO


    Yeah, you can't code the 44139. This is an add on code for use with colectomies.

    As for the repair of the serosal tear...not always billable either. The code is 44604, but if this "tear" was done during the physicians moblization (the serosa is a thin membrane, so its not hard to do), I would not code it. If it was a larger injury, that actually penetrated the intestine, I would bill it, with the V code for accidental injury during op.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

Similar Threads

  1. Rotator cuff tear or tear of supraspinatus?
    By 1073358 in forum Orthopaedics
    Replies: 2
    Last Post: 03-14-2014, 09:46 AM
  2. Serosal Tears in small bowel
    By willishm2012 in forum Gastroenterology
    Replies: 3
    Last Post: 07-24-2013, 10:28 AM
  3. PCL Tear, MCL Tear, patella dislocation
    By cwilson3333 in forum Orthopaedics
    Replies: 0
    Last Post: 05-02-2013, 09:19 AM
  4. DX for Deltoid avulsion tear (old tear)?
    By kdahlen in forum Orthopaedics
    Replies: 0
    Last Post: 08-15-2012, 10:38 AM
  5. Lysis of Adhesions w/repair of serosal lifts
    By Mklaubauf in forum General Surgery
    Replies: 1
    Last Post: 01-04-2012, 12:39 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.