tci General Surgery Coding Alert - 2003 Issue 9

You Be the Coder: Look to CPT for 'Primary' Codes

Question: Which codes are "primary" for add-on code 44139? May I report it with total abdominal colectomy (44150)? Florida SubscriberAnswer: You may report +44139 (Mobilization [take-down] of splenic flexure performed in conjunction with partial colectomy [list separately in addition to primary procedure]) with any of seven primary codes, according to CPT:44140  - Colectomy, partial; with anastomosis44141 - ... with skin level cecostomy or colostomy 44143 - ... with end colostomy and closure of distal segment (Hartmann type procedure) 44144 - ... with resection, with colostomy or ileostomy and creation of mucofistula 44145 - ... with coloproctostomy (low pelvic anastomosis) 44146 - ... with coloproctostomy...

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