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LAPAROSCOPIC TRANVERSE COLOSTOMY WITH CREATION OF MUCOUS FISTULA

Kirsten Posted Thu 16th of July, 2015 14:10:21 PM

The physician performed a laparoscopy for rectal/anal malignancy. During which, he isolated the transverse colon, and then transected it using endo GIA's. Once the bowel had been adequately mobilized, he brought the distal end of the transected bowel through one abdominal incision and the proximal end through a separate abdominal incision. So this was not a loop colostomy. He matured the colostomy as well as the mucous fistula at that point. The entire procedure was done laparoscopically (except for the 2 ostomy sites). I looked at 44188, however it does not make mention of a mucous fistula creation. So, what is the CPT code for this procedure?

SuperCoder Answered Fri 17th of July, 2015 00:39:10 AM

The procedure looks like CPT code 44144 (Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula) but that is for open procedure. There is no such code for laparoscopic procedure. In this case, you should use unlisted CPT code for the performed procedure. Do not forget to provide documentation with your claim form indicating the name and full description of procedure.

Kirsten Posted Mon 20th of July, 2015 16:35:47 PM

There was no resection performed. So what is the appropriate CPT code for this laparoscopic procedure?

SuperCoder Answered Tue 21st of July, 2015 01:10:20 AM

Use unlisted CPT code for the procedure.

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