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Thread: Lap colon resection w/takedown of colostomy

  1. #1
    Join Date
    Apr 2007
    Woodbridge, Virginia

    Default Lap colon resection w/takedown of colostomy

    AAPC: Back to School
    I need help with the following:

    The patient had a Lap resection of the sigmoid colon along with takedown of a colostomy, splenic flexure mobilization and flex sigmoidoscopy.

    I am looking at CPT's 44204,44227,+44213, 45330-59

    I see from my bundling program that 44204 and 44227 are bundled. Is there any other code for Lap takedown of a colostomy when done at the same time as a partial colon resection?
    Also, my Surgeons want us to code 'Flex Sig' as well. Is this included in the surgery or can I bill it separately?

    Thanks for all your help!

  2. #2
    Join Date
    Apr 2007
    Denver CO

    Default Takedown of colostomy

    I see that you are allowed to add a -59 mod to 44204 to show separate site. That should do it for you!

    V Davis, CPC

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