CPT^® 44346, Under Enterostomy-External Fistulization of Intestines Procedures

The Current Procedural Terminology (CPT^®) code 44346 as maintained by American Medical Association, is a medical procedural code under the range - Enterostomy-External Fistulization of Intestines Procedures.

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Summary

In this procedure the provider reworks a previously constructed colostomy site. He releases the intestinal segment from its stoma, returns the entrapped bowel of the hernia to its proper place, removes the scar tissue around the stoma, and reattaches the stoma at a new site in the abdominal wall.

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I coded 49560 +49568 15734 RT & LT UNH denied only paying the mesh saying submit corrected claim. Any help would be appreciated

this is a paracolostomal hernia look at 44346 in note subq flap not done not seeing where a flap was done. consider 49905 abdominal wall reconstruction... [ Read More ]

Could someone help with coding for this surgery?

Hi, looks like to me 44346-22... [ Read More ]

Colonstomy location revision, small bowel resection, bladder repair colostomy revision small bowel

Hello! Any suggestions on how to code this? I am looking at 44346, but then would I just bill the 44120 for the small bowel. I know the bladder repair, and adhesiolysis is included. After general e... [ Read More ]

Prolapsed Colostomy, partial colectomy, new ileostomy

Hello, I am having a difficult time settling on this case. Any advice would be much appreciated! I have the scrubbed op note below: DIAGNOSIS: Prolapsed sigmoid colostomy. PROCEDURE PERFORMED: ... [ Read More ]

Ileostomy revision with parastromal hernia repair code

Does anyone have an idea what to use for Ileostomy revision/resite with parastromal hernia repair.. I dont think we should be using 44346 as it specifies "Revision of colostomy with repair of paracolo... [ Read More ]

Laparoscopic repair of parastomal hernia

[b]laparoscopic parastomal hernia repair[/b] [LEFT][QUOTE="colorectal surgeon, post: 201785, member: 144344"]I would also use lap incisional hernia. Last time I checked, there is no ICD-9 code for p... [ Read More ]

2 surgeons same division - any suggestions?

There's a couple of problems going on here that will definitely affect the coding. First: Regarding the 3 unintentional enterotomies (aka sb injuries) made by Surgeon A. It's my understanding that t... [ Read More ]

2 surgeons same division - any suggestions?

I'm not sure how to code this case. I have 2 surgeons from the SAME division involved. Any help with the CPT & Dx codes would be greatly appreciated as I feel the codes they have provided are not comp... [ Read More ]

Help coding laparoscopic repair of parastomal hernia with mesh hernia mesh parastomal suture urostomy

From what I am finding, I should bill unlisted 50949 and like it to 50728. The provider says it should be billed as unlisted 49659 and like it to 44346. Any help would be greatly appreciated. I hav... [ Read More ]

Laproscopic Parastomal hernia repair

[b]44346[/b] [QUOTE="lindacoder, post: 82898, member: 6975"]I use the unlisted code 44799 for laparoscopic repair comparable to open code 44346 if revision is also performed.[/QUOTE] 44346 is the co... [ Read More ]

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