CPT^® 44661, Under Repair Procedures on the Intestines (Except Rectum)

The Current Procedural Terminology (CPT^®) code 44661 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 enterovesical fistula, an abnormal passageway between the small intestines and the urinary bladder. He resects the portion of the intestine and or the bladder damaged by the fistula formation and closes the wound. He does this to treat or prevent infection or other complications.

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colorectal

This was fun to code. So i got the codes 44143 (Hartmann's procedure), 44661 (Colo vesical fistula, with intestine resection), 49060 (abscess)- 59 and 44139 (splenic flexure). You do not want to put a... [ Read More ]

44640 only

is there a pathology report to go along with this. I am thinking they may have resected a small part of the bowel and if so then the procedure code would be 44661. Hope that helps.... [ Read More ]

Need help for Repair of Colovaginal and Colovesical Fistula

[b]Op Report[/b] [QUOTE="syllingk, post: 374722, member: 138083"]you didn' t say how so look at 51900, 57320-57330, and 44660-44661[/QUOTE] Here's the detailed Op report: Procedure: Robotic-assiste... [ Read More ]

Need help for Repair of Colovaginal and Colovesical Fistula

you didn' t say how so look at 51900, 57320-57330, and 44660-44661... [ Read More ]

Sigmoid Colectomy with bladder repair????

44661 would not include a colostomy. 44143 does as all colon resections do, include closure of fistula. cms policy manual I believe chapter 9 or 12. I could send it to you if I had your email address... [ Read More ]

Sigmoid Colectomy with bladder repair????

Any and all help will be greatly appreciated. The doc thinks 44143 and 44661. A fellow coder states just 44143, while another states just 44661. Preoperative Diagnosis: Perforated viscus and perito... [ Read More ]

Laparoscopic assisted lower anterior colon resection, takedown of colovaginal fistula

I think it should be unlisted 44238 with comparible open code 44661... [ Read More ]

Laparoscopic takedown and repair of colovesical fistula /colon resection

I would appreciate any thoughts on this one...I have read several posts regarding similar cases and the replies have differed from fistula repair is included in the colon resection to using unlisted c... [ Read More ]

Bladder fistula

Take a look at CPT 44661 "closure of enterovesicle fistula with intestine and/or bladder resection". I don't know where the fistula communicates to, but if it's with an intestine, this covers both pr... [ Read More ]

Help with an op note????

44661(but that's an open) then 44204 (included) and 44213(but is the mobilization included with 44661 also?) then the 44188 because the transection is included already? Im really not sure if Im even o... [ Read More ]

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