AHA Coding Clinic® for HCPCS - 2013 Quarter 3; Ask the Editor
Fecal transplant via colonoscopy
What would be the appropriate CPT code(s) for fecal transplant via colonoscopy for Medicare and non-Medicare patients? I have seen conflicting information. Some information says to use 44705 , Preparation of fecal microbiota for instillation, including assessment of donor specimen, and 45378 , Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure), or code 45378 without code 44705 , or CPT code 44799 , Unlisted procedure, intestine, or HCPCS code G0455 , Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen. Also, if CPT code 44705 or HCPCS code G0455 are to be reported, does the physician need to document the preparation of fecal microbiota? Our physicians document a colonoscopy with infusion of fecal effluent. ...
Subscribe or sign in to view the full article.
Article Overview
This premium article discusses coding considerations for fecal transplant delivered through colonoscopy and the source of conflicting guidance around reporting for Medicare versus non-Medicare patients. It is aimed at coding and billing professionals who need to understand the relevant CPT and HCPCS options referenced in the discussion and the general areas where payer-specific interpretation may affect reporting.
Why This Topic Matters
Fecal microbiota transplant coding can vary by payer and by the procedural services involved, so understanding the applicable code sets and the way the issue is framed helps prevent billing errors and denials.
What You Will Learn
- The coding issue raised by fecal transplant performed via colonoscopy
- How Medicare and non-Medicare contexts are presented in the discussion
- Which coding frameworks are referenced in the question about reporting options
- Why there may be differing guidance across sources or payers
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
- Compliance teams
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com