AMA CPT® Assistant - 2017 Issue 12 (December)

Surgery: Digestive System (Q&A) (December 2017)

December 2017 page 14a Surgery: Digestive System Question: What is the appropriate code to report a laparoscopic sigmoid colectomy with repair of colovesical fistula? Answer: It is appropriate to report code 44204, Laparoscopy, surgical; colectomy, partial, with anastomosis, for this procedure. The closure of the fistula during the same session would be reported separately with code 51999, Unlisted laparoscopic procedure, bladder. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure report) along with the claim to provide an adequate description of the nature, extent, and need for the...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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