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Code to dis-embowel patient??

  1. #1
    Location
    Salt Lake North
    Posts
    639
    Cool Code to dis-embowel patient??
    Exam Training Packages
    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
    Location
    Phoenix/Scottsdale
    Posts
    139
    Default
    CPT for Removal of fecal impaction is 45915. You can bill both, just be sure to put a 25 on the E&M code.


    Kris

  3. #3
    Location
    Evansville Indiana
    Posts
    451
    Default impaction
    45915 can only be used if done under anesthesia. I believe otherwise it is included in the E&M.

  4. #4
    Default
    If the doctor has to disimpact the patient at the time of the OV - it is included in the E?M

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

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