CPT^® 44146, Under Excision Procedures on the Intestines (Except Rectum)

The Current Procedural Terminology (CPT^®) code 44146 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 performs an anastomosis between the rectum and colon low in the pelvis. He also creates a colostomy, a surgical procedure to connect the colon to an opening through the skin.

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Looking for work while taking CPC online program

My name is Jill Kazimore and I am currently a furloughed COTA/L at a SNF. I am looking for non-clinical work while I take the CPC online class through AAPC. I hope to keep my clinical work as a COTA/L... [ Read More ]

low anterior resection with colostomy but NO anastomosis

have you looked at 44146-52 since anastomosis was not completed? Just a thought :)... [ 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 without colostomy or anastamosis abdomen colon patient perforation stool

I have surgeon who did an open procedure on a patient who had two perforations in the colon, one in the descending and the other in the simoid. Surgeon divided the colon just distal to the sigmoid and... [ Read More ]

Low anterior resection, end closure & colostomy. (no anastamosis)

can't tell for sure without the note but from what you put sounds like 44146, colectomy, partial; with coloproctostomy(low pelvic anastomosis, with colostomy.... [ Read More ]

Difficult colon surgery, any help would be great!!!!!!

44145-22 Since it was a low pelvic anastomosis you can't charge for the ileostomy. 44146 is for one with a colostomy. The note says diverting loop ileostomy created in the RLQ. Jackson Pratt drain wa... [ Read More ]

Difficult colon surgery, any help would be great!!!!!! colon mesh pelvis removed tumor

I have copied the op report below and I am afraid I am missing something in my choice of codes. I know I can't charge for the lysis of adhesions or the hernia repair. I am coming up with 44146 with a ... [ Read More ]

Bowel Resection

Appreciate any help with this surgery....so far I have CPT 44140 for the sigmoid resection with anastomosis; CPT 44955 for the appendix as it was positive for periappendicitis. Then I get confused af... [ Read More ]

Lower anterior resection with ileostomy

I would think it depends on what they did with the resected area. If they closed one end and created an ostomy with the other end I would use 44143. If they reattached the ends and created an ostomy... [ Read More ]

Lower anterior resection with ileostomy

Help Please, When our Dr does a open lower anterior resection with diverting loop ileostomy do we use the 44145 and 44310 or the 44146. The 44146 is with colostomy would that also be for a ileostomy? ... [ Read More ]

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