colectomy

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    Wiki Help with 44146 colectomy denial

    Hello all, Optum is denying 44146 that we billed for partial colectomy, anastomosis, and colostomy. Optum's denial was fairly vague and just states "a more accurate code should be used". I'm stumped on this one because going off the op report, that is the code that seems to be correct. I'm not...
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    Wiki Incomplete Colectomy

    My provider attempted to perform a Lap Partial Colectomy with end colostomy- 44206. They also performed over 90 minutes of adhesion removal and a take-down of the splenic flexure. However, when they went to do the colectomy, the disease was too active and they decided to not do it, and no...
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    Wiki Total lap colectomy-- please help, i'm leaning towards unlisted, my supervisor wants me to bill as lap colectomy..

    Post-op Diagnosis * Constipation [K59.00] Procedures * COLECTOMY TOTAL LAPAROSCOPIC, ILEORECTAL ANASTOMOSIS, LYSIS OF ADHESIONS Due to the complex nature of this case I will be using an assistant surgeon. Assistant assisted with the surgery by performing tasks are not limited to the...
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    Wiki Can you code Partial colectomy w/ small bowel resection

    please help ;) Can you code for both an open or Lap partial colectomy w/ anastomosis and small bowel resection together? if so, do you add modifier 59 on resection? We are having trouble with reimbursement for both in the same setting. example 44140, 44120-59 Or is the resection bundled into...
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    Wiki Lap vs Open partial colectomy

    The surgeon feels this partial colectomy with anastomosis should be coded as a laparoscopic procedure, but I think it should be coded as an open one. Just curious what any one else would think & why. Thanks! "After the induction of general anesthesia, the abdomen was sterilely prepped and...
    • lepullem
    • Thread
    • colectomy laparoscopic surgery open surgery surgery
    • Replies: 0
    • Forum: General Surgery
  6. E

    Wiki Partial Colectomy, partial gastrectomy, PEG placement, Gastrocolic cutaneous fistula

    I need help: How would you bill this? PREOPERATIVE DIAGNOSES: Gastrocolic cutaneous fistula with exposed infected hernia mesh. POSTOPERATIVE DIAGNOSIS: Gastrocolic cutaneous fistula with exposed infected hernia mesh. NAME OF PROCEDURE: 1. Excision of exposed and infected herniorrhaphy mesh...
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