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Thread: 44140 Colectomy,47600 Cholecycstectomy

  1. #1

    Default 44140 Colectomy,47600 Cholecycstectomy

    AAPC: Back to School
    Laparotomy-Sigmoid Colectomy with anastomosis, Spenic flexure mobilization, Cholecystectomy (for symptomatic cholelithiasis).


    45330 (flexible sigmoidoscopy done before beginning the open portion of surgery to locate the fistula area) Would this be billable for mcare pt? I found a CCI edit that shows it's bundled with the 44140 but it looks as if a modifier is allowed?

    I would love to hear from fellow coders.

  2. #2


    I'd suggested 44140 47600 44139. No modifier -59 needed on the chole but a -51 if your payer requires. You can tried to unbundle the scope if you can show separate and distinct at that point you would used the -59 on the scope. However, it kinda of sounds like it was part of 44140. Either way your call.

    Good luck.

    P.S. Be careful with your usage of -59. Use when necessary but be sure to use correctly. Could call in an audit.

  3. #3
    Join Date
    Apr 2007
    Kansas City, MO


    Fro your description of why the scope was done, I would not bill it. It sounds like it was part of the bigger picture.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

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