CPT^® 44388, Under Endoscopic Stomal Procedures

The Current Procedural Terminology (CPT^®) code 44388 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopic Stomal Procedures.

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Summary

The provider examines the portion of the colon that remains after a colon removal procedure using a colonoscope, a tubular instrument with a light source and camera. He inserts the scope through a previously placed colostomy stoma, the opening on the skin of a surgically created passageway into the colon. He looks for signs of recurrent disease, such as cancer. He takes samples of any suspicious tissue by brushing or washing the area to collect cells for laboratory analysis.

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2015 incomplete screening colonoscopy

I am still looking for an answer to the incomplete screening colonoscopy when the scope does not reach the splenic flexure. The CMS policy doesn't seem to address this. When inquiring with them, the... [ Read More ]

Incomplete colonoscopy due to poor prep

Hi Turtle 694! I do believe [B]mconner001 [/B]was pointing you in the right direction on [B]p. 378 of CPT - guidance[/B] says: [I]When performing a [B]diagnostic or screening[/B] endoscopic procedure ... [ Read More ]

Modifier -53 on HCPCS codes

Hi - Mod 53 can be payer- and setting-specific, but Medicare includes a row for G0121 with modifier 53 in the Physician Fee Schedule with code status A. [URL]https://www.cms.gov/medicaremedicare-fee-s... [ Read More ]

colorectal surgeons/CPT codes

[QUOTE="gared111, post: 9799, member: 18419"] All practices are different but at the ASC I worked for these are the codes we billed the majority of the time for the 2 colorectal surgeons... 45378-453... [ Read More ]

Flexible Sigmoidoscopy Via Stoma

Does anyone know which code we are supposed to use when a flexible sigmoidoscopy is done via a patient's stoma? I find 44388 for colonscopy via stoma, but I don't see a code for a flexible sigmoidosc... [ Read More ]

45300- flexible proctosigmoidoscopy

[b]44388 with flexible (not rigid) proctosigmoidoscopy[/b] [QUOTE="bhunt, post: 203655, member: 165661"]This CPT code specifies Proctosigmoidoscopy, rigid and I do not see a different CPT for a flexi... [ Read More ]

Modifier -53

This goes back to "What's it worth?" Keep in mind: 1. Most carriers have specific payment policies regarding 53 modifier. It may help to research the patient's insurance company's payment policy. ... [ Read More ]

Colonoscopy coding

[b]I have coding both sides of these for Indiana[/b] 1. 44388 is only for a stoma. Yes go by the decision tree. If unable to reach the splenic then it would be a 45330-53 for Medicare profee but faci... [ Read More ]

Colonoscopy coding

I am a physician coder, we are having conflicting information between the physician coders and hospital (RHIT) coders. Here are some of the questions/discussions we are having....it would be appreciat... [ Read More ]

Screening colonoscopy via stoma screening colonoscopy

Medicare patient has had a partial colectomy and creation of stoma for cancer. They now present for colon evaluation due to past history of colon cancer. Dr. performed procedure through stoma (44388).... [ Read More ]

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