tci General Surgery Coding Alert - 2015 Issue 5

Reader Questions: Limit Unlisted Code for Colonoscopy Through Stoma

Question: Our surgeon performed a colonoscopy through a stoma for a patient with a history of colon cancer. We’ve always submitted 44799 for this service, but this time we got a denial. What code should we use?  Tennessee Subscriber Answer: CPT® 2015 revises 44799 (Unlisted procedure, small intestine) so that the code is only for the small intestine. For an unlisted colon procedure, you should use new code 45399 (Unlisted procedure, colon).  That said, you should always use a more specific code to describe your surgeon’s work, if available. Although you’ve always had specific...

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