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garivo06 Posted Thu 01st of June, 2017 15:21:48 PM
Hi is it appropriate to bill add on code 44139 mobilization of splenic flexure when there is extensive malignant disease and there is debulking involved or in what manner would it be billable thanks garmaba
SuperCoder Answered Fri 02nd of June, 2017 03:34:54 AM

Debulking involves removal of multiple surrounding tissues, but as the CPT code 44139 is an Add-On code for mobilization of splenic flexure, then it would be billed separately along with the primary code(s) of colectomy.

garivo06 Posted Fri 02nd of June, 2017 12:37:57 PM
yes what if there was no colectomy performed only debulking and the provider needed to do extensive mobilization of the splenic flexure. thanks-
SuperCoder Answered Mon 05th of June, 2017 02:42:59 AM

CPT code 44139 is an add-on code, which can only be billed in conjunction with 44140-44147. If mobilization of splenic flexure was done during debulking and without colectomy, then we left with the unlisted CPT code only. While reporting the services with Unlisted CPT code, it is highly recommended to provide the appropriate documentation which state that there is no specific CPT code available for performed procedure/service(s).

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