tci General Surgery Coding Alert - 2002 Issue 2

Reader Question: Takedown of Splenic Flexure

Question: CPT states that 44139 can be billed with 44140 to 44147. Are these the only procedures to which 44139 may be added? One of my physicians wants me to bill 44139 with 44150. Would that be correct?            Kentucky Subscriber  Answer: No. The CPT manual clearly states that 44139 (mobilization [take-down] of splenic flexure performed in conjunction with partial colectomy [list separately in addition to primary procedure]) should be used with the following: 44140 colectomy, partial; with anastomosis 44141 ... with skin level cecostomy or colostomy 44143 ... with...

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