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Laparoscopic hemicolectomy w/colocolo anastomosis and coloprocto anastomosis?

KATHLEEN Posted Mon 28th of January, 2013 16:04:54 PM

Surgeon does a laparoscopic transverse colectomy with partial descending colectomy and partial sigmoid colectomy w/colocolo anastomosis and coloprocto anastomosis.I thought maybe 44204 with 44207 but CCI edits does not allow that. Can anyone help me with this?

SuperCoder Answered Tue 29th of January, 2013 21:11:01 PM

You will report only 44207 for this procedure, as you can see the code descriptor of 44204 is already included in 44207.The patient is placed supine on the operating table and prepped and draped sterilely. The surgeon makes a small incision at the umbilicus and uses this opening to insufflate (blow gas into a body cavity) the abdomen. This lifts the abdominal wall away from the organs and improves visualization of the site to be treated. Additional small incisions are made and a camera and instruments are inserted to perform the procedure. Once the abdomen is entered and there is good visualization of the cavity, any adhesions are taken down using ascalpel, cautery, or blunt dissection. The portion of colon to be removed is cut out, usually with a stapler. The proximal end of the remaining colon is connected to the sigmoid colon or rectum. This usually requires mobilization of the splenic flexure. The surgeon assures hemostasis. The abdominal incisions are closed in layers.

Further you are correct as CCI edits do not allow both codes together also.Code 44204 is a column 2 code for 44207, These codes cannot be billed together in any circumstances.

SuperCoder Answered Tue 29th of January, 2013 21:11:03 PM

You will report only 44207 for this procedure, as you can see the code descriptor of 44204 is already included in 44207.The patient is placed supine on the operating table and prepped and draped sterilely. The surgeon makes a small incision at the umbilicus and uses this opening to insufflate (blow gas into a body cavity) the abdomen. This lifts the abdominal wall away from the organs and improves visualization of the site to be treated. Additional small incisions are made and a camera and instruments are inserted to perform the procedure. Once the abdomen is entered and there is good visualization of the cavity, any adhesions are taken down using ascalpel, cautery, or blunt dissection. The portion of colon to be removed is cut out, usually with a stapler. The proximal end of the remaining colon is connected to the sigmoid colon or rectum. This usually requires mobilization of the splenic flexure. The surgeon assures hemostasis. The abdominal incisions are closed in layers.

Further you are correct as CCI edits do not allow both codes together also.Code 44204 is a column 2 code for 44207, These codes cannot be billed together in any circumstances.

SuperCoder Answered Tue 29th of January, 2013 21:11:04 PM

You will report only 44207 for this procedure, as you can see the code descriptor of 44204 is already included in 44207.The patient is placed supine on the operating table and prepped and draped sterilely. The surgeon makes a small incision at the umbilicus and uses this opening to insufflate (blow gas into a body cavity) the abdomen. This lifts the abdominal wall away from the organs and improves visualization of the site to be treated. Additional small incisions are made and a camera and instruments are inserted to perform the procedure. Once the abdomen is entered and there is good visualization of the cavity, any adhesions are taken down using ascalpel, cautery, or blunt dissection. The portion of colon to be removed is cut out, usually with a stapler. The proximal end of the remaining colon is connected to the sigmoid colon or rectum. This usually requires mobilization of the splenic flexure. The surgeon assures hemostasis. The abdominal incisions are closed in layers.

Further you are correct as CCI edits do not allow both codes together also.Code 44204 is a column 2 code for 44207, These codes cannot be billed together in any circumstances.

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