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colorectal surgeons/CPT codes

  1. #1
    Default colorectal surgeons/CPT codes
    Medical Coding Books
    My manager just asked me to find a list of CPT codes for the procedures that a colorectal surgeon most commonly bills for, such as resections and hemorrhoidectomies. Any help will be greatly appreciated.
    Last edited by Colliemom; 03-12-2008 at 01:35 PM.

  2. Default
    I haved work in a colon and rectal surgery practice for 13 years. I have a whole superbill filled with codes our surgeons use. For just the basics, I would look at 44140-44160 for large bowel resections (open) and the corresponding laparascopic codes 44202-44238. For anorectal, see 46200 -46505. Again, there are lots of codes of physician uses within this speciality. If you need something specific, I would be glad to help.

    Anna Barnes, CPC, CGSCS

  3. #3
    Default
    Quote Originally Posted by Katkia222 View Post
    My manager just asked me to find a list of CPT codes for the procedures that a colorectal surgeon most commonly bills for, such as resections and hemorrhoidectomies. Any help will be greatly appreciated.
    All practices are different but at the ASC I worked for these are the codes we billed the majority of the time for the 2 colorectal surgeons...

    45378-45385
    44388-44394
    45990
    46045
    46060
    45170
    46706
    46934-46942
    44799
    46080
    46200-46320

  4. #4
    Default
    Thank you, that helps a lot!

  5. Default
    I have a coder that wants to code 46060, 46030 and 45990 together. 46060and 46030 pays but 45990 denies. Is there a modifier that will allow this code to be used with the other two?

  6. #6
    Default colorectal codes
    Quote Originally Posted by bennieyoung View Post
    I have a coder that wants to code 46060, 46030 and 45990 together. 46060and 46030 pays but 45990 denies. Is there a modifier that will allow this code to be used with the other two?
    You would not code the "scout", or code out the fact that you are in there looking unless that is all that you are doing. That is a component of the other procedures.
    Malama pono,

    Sundae Yomes
    CPC, CPMA, CEMC, CGIC, CGSC, CCS-P

  7. Default
    Thanks so much! She wanted me to appeal the denial but I just didn't think it was appropriate. Thanks for confirming this for me.

  8. Default Colorectal coding tips/guidelines
    Hi Anna! I came across this thread and saw that you stated you have coded for colorectal surgery for 13 years. My question to you is, have you found any good coding tools/guidelines for colorectal surgery? It would be really nice to have a reliable resource to go to. We already have Optum Encoder, but I'm looking for something a little more in-depth and specific to colorectal surgery. I've looked pretty much everywhere and have had no luck. Any advice you have would be appreciated!

    Thanks in advance!

    Alyssa Geiger, CPC, CPMA, CGSC

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