CPT^® 44605, Under Repair Procedures on the Intestines (Except Rectum)

The Current Procedural Terminology (CPT^®) code 44605 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. In addition, he performs a colostomy to divert food waste into a bag worn externally. He performs this procedure to give the damaged tissue and sutured area time to heal and avoid possible infection from contamination by fecal material.

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44604

Hello, After thoroughly reading this OP note i am looking at the 2nd paragraph. "prior extended right colectomy were found. The ileo-colostomy was identified. A loop of small bowel was densely adheren... [ 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 ]

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 ]

Repair of cecum- use mod 22???

New to surgery coding so I hope someone else chimes in if this is incorrect. Look at 44604/44605. CCI edits state that if the tear occurred during the procedure, we can't report it.... [ Read More ]

need help! Return to the OR for control of bleeding

I need help. Can you please read Op report. I was thinking of coding either 44605-78or 44320-78. The return to the OR was on the same day as the primary procedure. I am new to Gastro coding and if any... [ Read More ]

colostomy procedure

What about 44605?... [ Read More ]

injury during surgery

From the NCCI policy manual chapter 6: If an iatrogenic laceration/perforation of the small or large intestine occurs during the course of another procedure, repair of the laceration/perforation is n... [ Read More ]

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