Wiki Prcotosigmoidoscopy w/ closure of enterostomy

[crodgers]

Doctor performed a proctosigmoidoscopy to confirm the patency of the sigmoid colon prior to resecting and closing a loop ileostomy. The patient had a history of ulcerative colitis. Is anyone coding the 45300 with 44625 and getting paid? It does have a separate procedure designation, but I wouldn't consider it an integral part of the resection. Any ideas or opinions?

 

[Anita Johnson]

Use both

Use both codes with a modifier 59 on the sigmoid.

 

[Anita Johnson]

procto w/closure of enterostomy

Agree. Bill both procedures with a "59" on the sig. You will get paid. Good luck! Anita