AAPC - Back to school
Results 1 to 4 of 4

Thread: Help with Rectal Tear, Please!!!

  1. #1

    Default Help with Rectal Tear, Please!!!

    AAPC: Back to School
    A patient presents to ER with rectal pain/bleeding due to rectal laceration from straining caused by constipation. Patient taken to OR for repair of laceration extending into rectum but not into peritoneal space. Repair done by suturing done via rectum. I have 2 questions:1.) I am not clear on the CPT code for the repair, I can only find 45562 which seems to be more involved than the procedure performed. The Ingenix book states the procedure decribed my vary depending on the nature & extent of the injury but it has a high RVU value, I believe we found it to have 17. So, we were thinking of using 45562 with a 52 modifier? Any thoughts on this? 2.) I'm not clear on the diagnosis coding for this do I go with an injury dx code 863.45 or the 569.42/569.3. I'm thinking the 863 code but not sure. Any direction, help would be appreciated.

    Thank you

  2. #2


    This is a good one. I wonder if the repair codes would work? The 13131 does include genitalia. Not sure if the rectum would fall into that category. Have you reviewed any of those codes?

  3. #3
    Join Date
    Apr 2007


    I would go with what you coded...45562-52/ or with an unlisted code(which I avoid using)...also agree with the 863.45 and 569.42...hope this helps...I see what you said about the description and why you are using the 52 modifier...

  4. #4

    Default Thank you

    Thank you for your responses, I feel good about going with 45562-52.

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. Rectal lesion!!!!!!!!!!!!
    By Kevinph84 in forum Outpatient Facilities
    Replies: 3
    Last Post: 09-18-2013, 01:05 PM
  3. rectal bx
    By chewri in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 06-17-2013, 08:38 AM
  4. PCL Tear, MCL Tear, patella dislocation
    By cwilson3333 in forum Orthopaedics
    Replies: 0
    Last Post: 05-02-2013, 09:19 AM
  5. DX for Deltoid avulsion tear (old tear)?
    By kdahlen in forum Orthopaedics
    Replies: 0
    Last Post: 08-15-2012, 10:38 AM

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.