tci General Surgery Coding Alert - 2017 Issue 9

Reader Question: Observe Payer Rules for FMT

Question: How should we bill for a procedure when our surgeon transplants processed donor fecal material during an endoscopy, instilling 100 ml into the duodenum and jejunum? Iowa Subscriber Answer: The correct code for the enteroscopy is 44360 (Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed [separate procedure]). For the Fecal Microbiota Transplant (FMT), CPT® now provides code 44705 (Preparation of fecal microbiota for instillation, including assessment of donor specimen) to describe part of the service. You should bill that code only if your...

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