CPT^® 44227, Under Laparoscopic Repair Procedure on the Intestines (Except Rectum)

The Current Procedural Terminology (CPT^®) code 44227 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Repair Procedure on the Intestines (Except Rectum).

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Summary

The provider takes down a previously created enterostomy, a surgically created opening between the large or small bowel and the outside of the abdomen, and cuts away the scarred or devitalized tissue at the ends of the two sections of intestine afterwhich he sutures the two ends together to restore anatomical route of the colon.

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Sigmoid colectomy with colostomy reversal

if anastomosis was done with a synchronous resection (take-down/closure enterostomy w/resection) per lap then yes 44227 and it includes the closure of colostomy, and resection with anastomosis. See t... [ Read More ]

Sigmoid colectomy with colostomy reversal

Hi, I need to bill a laporoscopic sigmoid colectomy with colostomy reversal. I am looking at 44227, but does that include the colectomy? Or do I need 44204 and 44227? Thank you!... [ Read More ]

Laparoscopic Colostomy Reversal

Look at 44227... [ Read More ]

Colorectal surgery questions

[QUOTE="MarylouT, post: 403727, member: 170425"]Hello - If these were performed as open procedures, the codes are 44626 for ileostomy takedown with Hartmann closure, 44310 for creation of loop ileosto... [ Read More ]

Colorectal surgery questions

Hello - If these were performed as open procedures, the codes are 44626 for ileostomy takedown with Hartmann closure, 44310 for creation of loop ileostomy, and 45300 for rigid proctoscopy. You cannot ... [ Read More ]

Diagnostic Laparoscopy with Total Vaginal Hysterectomy vs Lap, surgical, w vag hyst

NCCI database does not have every instance of incorrect billing possible as they add things as they see trends. Here is what NCCI has to say: [QUOTE]If a laparoscopy is performed as a “scout” pr... [ Read More ]

Lap colostomy reversal, lysis of adhesions, flex sig procedure.

I see 44227 only - lap closure of enterostomy, large or small, with resection and anastomosis. Flex done for leak test - normally not billed - adhesions appeared minimal and no time mentioned in note... [ Read More ]

Lap colostomy reversal, lysis of adhesions, flex sig procedure

Need help coding the following procedure. Not sure if coding this right so any input/corrections would be greatly appreciated. Not sure if I could add 22 modifier on 44227 for lysis of adhesions? I di... [ Read More ]

Lap colostomy reversal, lysis of adhesions, flex sig procedure.

Colostomy takedown, Splenic flexure takedown, hernia repair, and xenograft

Please help code the following, we coded as so, but 2 of the codes are add on codes and keep denying as not billed with primary code. However, physician did not perform either primary procedure: Proc... [ Read More ]

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