CPT^® 44143, Under Excision Procedures on the Intestines (Except Rectum)

The Current Procedural Terminology (CPT^®) code 44143 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Intestines (Except Rectum).

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Summary

In this procedure, the provider makes an incision to remove the affected portion of the colon and brings the upper part of the colon through a separate incision on the skin of the abdomen as a colostomy. The provider staples the lower end of the colon and leaves it in the abdomen.

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colorectal

This was fun to code. So i got the codes 44143 (Hartmann's procedure), 44661 (Colo vesical fistula, with intestine resection), 49060 (abscess)- 59 and 44139 (splenic flexure). You do not want to put a... [ Read More ]

colorectal

Hi can someone help me with this. This is my first time coding colorectal I am a new coder. Thanks I know 49000 is my exploratory, 44143 is hartmann and do I code 44139 and I am confused about the sma... [ Read More ]

Sigmoid resection with end colostomy and Hartmann's pouch, resection and primary closure of bladder fistula fistula sigmoid

I'm looking for help with this operative note. Would I use 44143? And is the bladder fistula repair included or coded separately? Thanks! Abdomen was then prepped and draped in a standard surgical fa... [ Read More ]

low anterior resection with colostomy but NO anastomosis

Code 44143 is appropriate and an abdominal washout is not the same as a peritoneal lavage. An abdominal washout is just that - clearing out/cleansing of the abdomen, two very different procedures.... [ Read More ]

low anterior resection with colostomy but NO anastomosis

Hello everyone - I need assistance. Patient had a intestinal fistula that attached to the lower abdominal wall and was leaking stool through the patient's pannus. Patient with diverticulitis. My doc ... [ Read More ]

Colectomy-Need Opinion :)

thank you for the feedback KellyLR . I didn't see in the code that the rectum was operated on in 44143. I Wonder if I could do 44145 with modifier 52 would be appropriate?... [ Read More ]

Colectomy-Need Opinion :)

Hi, What about 44143? this is the hartman procedure 44145 indicates low pelvic anastomosis 44140 indicates a colectomy with anastomosis performed Good Luck!... [ Read More ]

Need help with a colectomy procedure, please :)

WOULD YOU CODE AS 44143,44139? PROCEDURE: Exploratory laparotomy. Rectosigmoid resection. Mobilization of the right colon, hepatic and splenic flexures. Debridement of right retroperitoneal space.... [ Read More ]

staged colectomy with colostomy

44 year old patient 3 day post cesarean for premature twins. During cesarean section an injury occurred to the sigmoid colon resulting in fecal peritonitis. During first laparotomy colorrhaphy was pre... [ Read More ]

Colectomy with abscess drainage 49020-59 Bundled?

I would not unbundle 49020 in the scenarios you presented. 49020 is bundled to colectomy codes including 44143 as part of the "standards of medical/surgical practice." Because the edit has this reason... [ Read More ]

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