AMA CPT® Assistant - 2014 Issue 11 (November)
Reporting Stomal Endoscopy (44380-44408) (November 2014)
November 2014 pages 3-4 Reporting Stomal Endoscopy (44380-44408) Colonoscopy through stoma, defined as the examination of the colon, from the colostomy stoma to the cecum or colon-small intestine anastomosis, may include examination of the terminal ileum or small intestine immediately proximal to an anastomosis. To ensure accurate use of colonoscopy through stoma codes, and to reflect new and updated approaches to performing colonoscopy through stoma, new guidelines were established for 2015 that define the endoscopy procedures and provide instructions for proper reporting of these procedures. As a result, the Endoscopy, Small Intestine, and Stomal subsection of the Surgery section...
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Article Overview
This article reviews the November 2014 CPT Assistant guidance on stomal endoscopy reporting for the 2015 CPT code set. It covers how the endoscopy subsection was reorganized, what general categories of procedures were added or revised, and how reporting is addressed when a colonoscopy through a stoma is incomplete or when an unlisted procedure code may be relevant. The article is aimed at coders, billers, and other professionals responsible for accurate CPT procedure reporting in gastroenterology and surgical settings.
Why This Topic Matters
Stomal endoscopy reporting changed for 2015, and the article helps readers understand the scope of those updates so they can review the relevant CPT guidance and identify the correct reporting framework for procedures performed through a stoma.
Article Sections
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November 2014 pages 3-4
Publication placement and article context for the CPT Assistant guidance.
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Reporting Stomal Endoscopy (44380-44408)
Overview of the 2015 CPT changes affecting stomal endoscopy reporting, including section reorganization and general code-set updates.
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Editorial revisions and new stomal endoscopy codes
Discussion of terminology updates and the addition of new procedure codes within the stomal endoscopy subsection.
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Colonoscopy through a stoma section
Summary of the added colonoscopy-through-stoma procedures and the types of endoscopic services covered in this subsection.
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Guidance for incomplete examinations
Reporting considerations when a diagnostic, screening, or therapeutic endoscopic exam does not reach the intended anatomic endpoint.
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Unlisted procedure code revisions
Changes to unlisted procedure reporting for small intestine and colon services in the CPT Surgery section.
What You Will Learn
- How the CPT stomal endoscopy section was reorganized for 2015
- What kinds of stomal endoscopy procedures were newly addressed or revised
- How incomplete endoscopic examinations are discussed in the article
- How unlisted procedure reporting was updated for small intestine and colon services
- Which broad procedure categories are included in the stomal endoscopy subsection
Who Should Read This
- CPT coders
- Medical billers
- Coding auditors
- Gastroenterology coding staff
- Outpatient surgery coding professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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