tci Part B Insider - 2004 Issue 13

Colostomy Coding: Gain $200 By Noting Colectomy And Anastomosis

But beware billing separately for colectomyWhen your surgeon takes down a colostomy, he may perform a resection and anastomosis as well. Instead of just CPT billing 44620 (Closure of et-nerostomy, large or small intestine), you can bill 44625 (...with resection and anastomosis other than colorectal). You can make on average around $200 more for 44625 than for 44620. It's important to check the operative report and see what the surgeon actually did, notes Jan Rasmussen, president of Professional Coding Solutions in Eau Claire, WI. Ideally, the surgeon will state that he performed a resection and anastomosis with...

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