CPT^® 44604, Under Repair Procedures on the Intestines (Except Rectum)

The Current Procedural Terminology (CPT^®) code 44604 as maintained by American Medical Association, is a medical procedural code under the range - Repair Procedures on the Intestines (Except Rectum).

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Summary

The provider repairs a tear or hole in the large intestine with sutures and washes out the abdomen with antibiotic solution or normal saline. He performs this procedure to prevent soiling of the abdominal cavity with food waste and potential infection.

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44604

Hello, does anyone see 44604 (suture in large instestine) in the below procedure? I cannot locate supporting documentation. A limited upper midline incision was made with #10 blade. Soft tissue was d... [ Read More ]

Exploratory laparotomy for stab wound on the chest

POSTOPERATIVE DIAGNOSIS: Left hemothorax and left diaphragmatic injury, laceration to the splenic flexure of the colon and omental bleeding. PROCEDURE: Exploratory laparotomy, repair of diaphragmat... [ Read More ]

Help needed with CPT code

Hi Erin, I agree with your assessment that the enterotomy repair should not be reported. A guideline you may be able to share with your surgeon to explain why you wouldn't report this code is in the... [ Read More ]

2 surgeons same division - any suggestions?

Here's how I looked at it - From Surgeon A's note: "... Other than the [I]unintentional enterotomies[/I], there were no complications from the procedure." From Surgeon B's note: "A complete LOA had b... [ Read More ]

2 surgeons same division - any suggestions?

The NCCI policy manual states "If an iatrogenic laceration/perforation of the small or large intestine occurs during the course of another procedure, repair of the laceration/perforation is not separa... [ 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 ]

Which CPT codes would be used? continued inguinal left mass procedure

My surgeon did a surgery which appears to be a co-surgery with the GYN. The patient had a large mass that was attached to the colon, as well as the ovary. They both have documented their portions. The... [ Read More ]

Help needed for codes for this surgery!! adhesions inguinal left mass procedure

repair of small bowel

I don't believe there is a lap code - you will have to use unlisted 44238 wtih comparison to open code either 44602 or 44604.... [ Read More ]

Open Small Bowel Resection due to Enterotomy during Colostomy takedown

assuming in the practice "LAP" means laparoscopy and not lapartomy. The 44227 includes "resection and anasamosis" so you cannot bill seperatly with the 44120. IF the dr is just pulling the intestines ... [ Read More ]

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