CPT^® 44392, Under Endoscopic Stomal Procedures

The Current Procedural Terminology (CPT^®) code 44392 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, an opening on the skin of a surgically created passageway into the colon. He removes one or more abnormal masses or growths with an instrument that grasps, excises, and cauterizes it. He sends the specimen to a laboratory for analysis.

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Colonoscopy coding

Depends on what instrumentation was used for the polypectomy through the stoma - 44389 for cold biopsy forceps, 44392 for hot biopsy forceps, 44394 for snare....etc. Then you would also code a 45330 ... [ Read More ]

surveillance

This is in the April Cutting Edge: Screening-turned-diagnostic Colonoscopy, Modifier 33, and Commercial Insurance I read with interest Sarah W. Sebikari’s, MHA, CPC, article on coding colorectal s... [ Read More ]

Colonoscpy via Stoma and Rectum?

Documentation needs to be better...what technique did the surgeon use to remove the polyp when going in through the stoma? You could use 44389 for the scope through the stoma w/bx for biopsy of the... [ Read More ]

Colostomy Polyp

[FONT="Comic Sans MS"][COLOR="DarkOrchid"]I have a patient who had a colonoscopy via stoma. The doctor elected to excise a malignant polyp surgically (electrocautery). Would I code it as the 44392? ... [ Read More ]

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