tci General Surgery Coding Alert - 2009 Issue 1
Make the Most of Colostomy Closures: Here's How
Waiting for pathology results helps to optimize payment When reporting an enterostomy closure, you should immediately ask yourself, "Did the surgeon also perform resection and anastomosis of the bowel?" If so, you-ve got separately reportable services that can significantly boost the surgeon's compensation. Select 44620 for Closure Only For a basic takedown of enterostomy without bowel resection, you would report 44620 (Closure of enterostomy, large or small intestine), confirms Terri Brame, CPC, CPC-H, principal at BEST Coders. What you-ll see in the op. report: Documentation will describe taking down the stoma of the colon and sewing it back...
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