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CPT® 44640, Under Repair Procedures on the Intestines (Except Rectum)

The Current Procedural Terminology (CPT®) code 44640 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 closes off an intestinal cutaneous fistula, an abnormal passageway between the intestine and the skin. If necessary, he resects damaged sections of intestine and anastomoses, or joins, the ends together to maintain an uninterrupted digestive tract. He performs the procedure to treat a fistula that has not responded to nonsurgical therapy.

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Have a question about CPT Code 44640 ? Start a discussion here
Modifier 51?
The physician performed a gastric perforation repair (CPT 43840) and a colocutaneous fistula repair (44640-- slightly higher physician payment). (this was done endoscopically, so I'll use unlisted cod... [ Read More ]
Modifier for 44640 and 43840?
The physician performed a gastric perforation repair (CPT 43840) and a colocutaneous fistula repair (44640-- slightly higher physician payment). (this was done endoscopically, so I'll use unlisted cod... [ Read More ]
low anterior resection with colostomy but NO anastomosis
Hello everyone - I need assistance. Patient had a intestinal fistula that attached to the lower abdominal wall and was leaking stool through the patient's pannus. Patient with diverticulitis. My doc ... [ Read More ]
44640 only
Hi all - is 44640 the only billable code here?: I sort of redacted the report for only the pertinent info. Post-op Diagnosis * Enterocutaneous fistula [K63.2], anastamotic leak * Procedure(s) (LRB... [ Read More ]
Need Help with Procedure
Hi, I would like to know what others are doing with procedures like this one. Anytime we convert from Laparoscopic/robotic to open, I use an open code. I apologize for the length of the note. Than... [ Read More ]
closure of mucous fistula 44640 cutaneous fistula intestinal mucous
Surgeon performed a lap proctectomy with colo-anal anastomosis (CPT 45112). She also "repaired an intestinal cutaneous fistula", which she wants to use CPT 44640. However, the "intestinal cutaneous ... [ Read More ]
ileostomy/colostomy takedown need help!
Hi fellow coders! I am new to General surgery and am in need of some help. This is my first big case and don't want to screw up. Maybe I am over thinking this. Can someone shed some light on this. Tha... [ Read More ]
Closure of ileostomy fistula
Look at 44640 and possibly verify with Dr that it was cutaneous.... [ Read More ]
Trying to code for a takedown of a cholecystocolonic fistula
Sorry. I didn't have time to read through the whole note but take a look at 44640-44660. One of these might fit.... [ Read More ]
Fibrin Plug for Enterocutaneous fistula
I like 44640. do you have to use the 52 is the question. it states closure but not how?... [ Read More ]
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