AMA CPT® Assistant - 2018 Issue 10 (October)
Surgery: Digestive System (Q&A) (October 2018)
October 2018 page 11a Surgery: Digestive System Question: A patient who is status post-sigmoid colectomy with Hartmann pouch and colostomy has developed a stenotic stoma. The patient presents weekly for either digital dilation or dilation with a Hagar dilator in the office. Documentation includes the following: “Performed stoma dilation with an 11/12-Hagar dilator with both ends passing easily after initial pass.” May this be reported separately using an unlisted CPT code, or is it included in an evaluation and management (E/M) service? Answer: The digital dilation or dilation with a Hagar dilator would be inherent to the appropriate...
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Article Overview
This article is a short CPT coding Q&A for digestive system surgery topics. It helps coders and billers understand how a couple of office and anorectal scenarios are discussed in relation to evaluation and management services, high-resolution anoscopy, and unlisted procedure reporting. The content is useful for professionals looking for general guidance on whether certain services are separately reportable and how the article frames the available CPT options.
Why This Topic Matters
Digestive system coding often involves services that may be bundled, separately reportable, or mapped to unlisted codes when a precise CPT code is not available. This article is relevant to coders seeking CPT-focused guidance for anorectal and stoma-related scenarios.
What You Will Learn
- How the article frames reporting for selected digestive system office services
- What CPT coverage is discussed for high-resolution anoscopy scenarios
- When the article directs attention to unlisted procedure reporting within the anus category
- What kind of supporting documentation is referenced for unlisted reporting
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
- Compliance staff
- Physician documentation staff
Codes Discussed
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