tci Part B Insider - 2003 Issue 27

CODING: Using 44139 Can Add $1,000 to Partial Colectomy Reimbursement

But only if you can decipher the operative report Surgeons who detach the colon from the splenic flexure, the junction nearest the spleen, are entitled to bill for a separate procedure, but many coders miss out on it because they get bogged down in colon surgery jargon. The Common Procedural Terminology book specifically advises coders to bill +44139 (Mobilization [take-down] of splenic flexure performed in conjunction with partial colectomy) along with partial colectomy codes 44140-44147. Medicare reimburses roughly $1,000 extra for 44139 because of the complexity and difficulty of eliminating the splenic flexure, says M. Trayser Dunaway, a...

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