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Colonic Lavage

Cindy Posted Thu 15th of October, 2015 12:53:06 PM

My surgeon performed a laparoscopic partial colectomy with anastomosis. During the procedure when he went to do the anastomosis the rectum was full of stool. He spend over an hour cleaning out the rectum in order to perform the anastomosis. We billed 44002, can we bill for the lavage and if so what code? You cannot use 44701 since it is an add on code for a limited number of procedures and this is not one of them.
Thank you

SuperCoder Answered Fri 16th of October, 2015 06:03:11 AM

Thanks for your question.

You can code this scenario with CPT code 44204 adding modifier 22 (Increased procedure service).

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