Results 1 to 3 of 3

Enterocutaneous Fistula Plug

  1. Default Enterocutaneous Fistula Plug
    Exam Training Packages
    Is anyone currently using the enterocutaneous fistula plug at their facility? How are you coding this, 44799? If so, do you mind sharing approximate reimbursement you are receiving for these procedures?

    Thank you,

    Lisa

  2. #2
    Default
    This may not be the same thing as your procedure bu this was just posted on the RBMA (Radiology Business Managers Association) Coding Forum. Walt Blackham is on the AMA board and several other boards.

    Subject: Re: Enterocutaneous Fistula Closure


    UPC for the closure and 20501+ 76080 for contrast injecton prior to closure. That's about the best I can come up with.
    Walt Blackham

    On 9/24/2010 5:48 PM, Coder wrote:

    How would the following note be coded? Probably an unlisted code either 44799 or 17999 and 76496? Thank you for your help.
    HISTORY: Enterocutaneous fistula from a prior jejunostomy tube which has had persistent high volume output for 3 months.
    PERCUTANEOUS ENTEROCUTANEOUS FISTULA CLOSURE USING FLUOROSCOPIC GUIDANCE
    PROCEDURE: A PARQ conference was held and written consent to proceed was obtained. The skin overlying the left lower abdomen was prepped in a sterile fashion. Subcutaneous lidocaine was injected for local anesthesia. A 5-French Kumpe catheter was advanced into a enterocutaneous fistula and contrast dye was injected to opacify the fistula tract. A wire was then passed into the jejunum through the tract. The tract was then sequentially dilated. A 22-French sheath was advanced over the wire and positioned in the jejunum. A 7-mm Cook enterocutaneous fistula plug was then deployed within the enterocutaneous fistula tract under fluoroscopy. 1 g Ancef was flushed into the sheath. The sheath was removed. The device was then sutured to the skin using resorbable Vicryl suture. The device was trimmed and a Molnar disk was attached.
    CONCLUSION: Successful placement of a percutaneous enterocutaneous fistula plug under fluoroscopic guidance. The patient was placed on a clear diet for two days. She will follow-up in radiology in two weeks.
    Anita W, CIRCC, RCC, CPMA, CPC

  3. #3
    Default sclerotherapy
    Concerning the questions about sclerotherapy.. If 4 separate distinct injections were made to the superficial veins in the left axilla can we use cpt 36470 x4 or should we use 36299. Injections weren't done on spider veins? Any help is appreciated.

    Sue

Similar Threads

  1. Excision of Enterocutaneous fistula
    By manib84@yahoo.com in forum General Surgery
    Replies: 0
    Last Post: 08-17-2015, 02:35 PM
  2. Closure for enterocutaneous fistula?
    By Coder_Rick in forum General Surgery
    Replies: 2
    Last Post: 05-04-2012, 10:29 AM
  3. injectable acell implant for enterocutaneous fistula
    By rceron in forum General Surgery
    Replies: 4
    Last Post: 02-07-2012, 10:29 AM
  4. Enterocutaneous fistula closure ??
    By Sandi in forum Gastroenterology
    Replies: 0
    Last Post: 09-03-2011, 06:29 PM
  5. Fibrin Plug for Enterocutaneous fistula
    By Williealawishes in forum General Surgery
    Replies: 3
    Last Post: 06-30-2011, 10:36 PM

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?

Login

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.