AAPC - Back to school
Results 1 to 5 of 5

Thread: Code to dis-embowel patient??

  1. #1

    Cool Code to dis-embowel patient??

    AAPC: Back to School
    OK, patient comes in with chronic constipation. Dr. has to physically disembowel the patient's rectum. Is this part of the office visit or is there a seperate code for that? Just does not happen that often you know. Thanks for your input.

  2. #2
    Join Date
    Apr 2007


    CPT for Removal of fecal impaction is 45915. You can bill both, just be sure to put a 25 on the E&M code.


  3. #3
    Join Date
    Apr 2007
    Evansville Indiana

    Default impaction

    45915 can only be used if done under anesthesia. I believe otherwise it is included in the E&M.

  4. #4


    If the doctor has to disimpact the patient at the time of the OV - it is included in the E?M

  5. #5


    remember to follow the 1995 or 1997 guidelines, you have a good chance to upcode from say a 99212 to a 99213.

Similar Threads

  1. Replies: 7
    Last Post: 05-19-2016, 08:23 PM
  2. New Patient vs Established Patient Code
    By pvacanti in forum Billing/Reimbursement
    Replies: 4
    Last Post: 05-14-2014, 08:00 AM
  3. outpatient code: same day adm/dis less then 8 hours
    By b_terickson in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 10-15-2013, 02:45 PM
  4. NEED HELP to settle a dis agreement on HPI
    By Justarose in forum E/M
    Replies: 3
    Last Post: 10-06-2011, 01:19 PM
  5. how to code a patient visit when the patient is seen by two physicians
    By lnaschke in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-25-2009, 09:39 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.