AAPC - Back to school
Results 1 to 3 of 3

Thread: Prcotosigmoidoscopy w/ closure of enterostomy

  1. #1

    Question Prcotosigmoidoscopy w/ closure of enterostomy

    AAPC: Back to School
    Doctor performed a proctosigmoidoscopy to confirm the patency of the sigmoid colon prior to resecting and closing a loop ileostomy. The patient had a history of ulcerative colitis. Is anyone coding the 45300 with 44625 and getting paid? It does have a separate procedure designation, but I wouldn't consider it an integral part of the resection. Any ideas or opinions?

  2. #2
    Join Date
    Apr 2007
    Greater Orlando

    Default Use both

    Use both codes with a modifier 59 on the sigmoid.

  3. #3
    Join Date
    Apr 2007
    Greater Orlando

    Default procto w/closure of enterostomy

    Agree. Bill both procedures with a "59" on the sig. You will get paid. Good luck! Anita

Similar Threads

  1. partial closure of incision with ABRA closure device?
    By CoderSB in forum General Surgery
    Replies: 0
    Last Post: 10-23-2013, 01:40 PM
  2. Help Coding SmBowelresect/Clsoure enterostomy
    By Hopp in forum General Surgery
    Replies: 1
    Last Post: 09-30-2013, 12:19 PM
  3. Replies: 3
    Last Post: 08-27-2013, 10:57 AM
  4. closure ?
    By codedog in forum Outpatient Facilities
    Replies: 4
    Last Post: 06-09-2011, 06:06 AM
  5. Lap closure of enterostomy
    By uhlerclarem in forum General Surgery
    Replies: 2
    Last Post: 05-10-2010, 09:28 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.