tci General Surgery Coding Alert - 2008 Issue 5

Identify Every Billable Element to Ace Your Colectomy Claims

Mobilization of splenic flexure calls for add-on code Not all partial colectomy procedures are created equal, and close attention to the op report's details could uncover hidden reimbursement opportunities. Here are six tips on what you-ll want to be watching for. 1. Choose the Approach for a Basic Procedure To report a partial colectomy, you should choose either 44140 (Colectomy, partial; with anastomosis) for a simple approach or, for a combined abdominal/transanal approach, 44147 (... abdominal and transanal approach). If the surgeon refers to the transverse colon, chances are she performed a "straight anastomosis" as described by 44140. Regardless...

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