Surgery: Digestive System (Q&A) (May 2013)

May 2013 page 12 Surgery: Digestive System Question: The new CPT code 44705, Preparation of fecal microbiota for instillation, including assessment of donor specimen, does not include the instillation. The parenthetical note following the code instructs to report the unlisted code 44799 for fecal instillation by oro-nasogastric tube or enema. Please advise how to report if the instillation is done via colonoscopy or via EGD. Answer: For non-Medicare patients, if instillation of the microbiota is performed via esophagogastroduodenoscopy (EGD) or colonoscopy, the endoscopic service should be separately reported using the appropriate CPT code for upper gastrointestinal endoscopy or colonoscopy...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses selected digestive system coding questions in a CPT Assistant Q&A format. It focuses on how to think about reporting endoscopic services when fecal microbiota is instilled and when a PEG tube is placed, with separate attention to Medicare-related reporting and modifier use. The content is intended for coders, billers, and physicians working with digestive system procedures and endoscopy claims.

Why This Topic Matters

Digestive system endoscopy and related procedures often raise reporting questions when the documented service does not match the expected full procedure description. This article helps readers understand the scope of the guidance discussed in the Q&A and which coding references are involved.

Article Sections

  1. May 2013 page 12

    Brief introductory page reference for the Q&A content. The section frames the digestive system coding questions addressed in this issue.

What You Will Learn

  • The article’s focus areas within digestive system CPT reporting
  • How the Q&A format addresses endoscopic service reporting questions
  • The types of coding references involved in microbiota instillation and PEG-related documentation
  • Where Medicare-specific guidance is discussed at a high level
  • When modifier-related questions arise in the context of documented procedure scope

Who Should Read This

  • CPT coders
  • medical billers
  • physician practices
  • gastroenterology staff
  • compliance and reimbursement teams

Codes Discussed

Modifiers Discussed


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