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Prcotosigmoidoscopy w/ closure of enterostomy

  1. Question Prcotosigmoidoscopy w/ closure of enterostomy
    Medical Coding Books
    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
    Default Use both
    Use both codes with a modifier 59 on the sigmoid.

  3. #3
    Default procto w/closure of enterostomy
    Agree. Bill both procedures with a "59" on the sig. You will get paid. Good luck! Anita

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