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sigmoidoscopy decompression volvulus and rectal tube placement?

KATHLEEN Posted Tue 09th of October, 2012 20:58:17 PM

I was under the impression that a rectal tube placement after sigmoidoscopy decompression volvulus would be included? Or would coding 45337 with the unlisted 44799 for the rectal tube placement be acceptable?

SuperCoder Answered Wed 10th of October, 2012 18:06:26 PM

While there are new CPT codes for colonic stent placement, there are no specific codes for tube placement or the use of a guide wire in the colon.Your only option is to use unlisted-procedure code 44799 (unlisted procedure, intestine) to report the guide-wire. Whenever you use an unlisted code, you must include an operative report and a separate statement describing the steps taken in the guide wire procedure. This separate report should include the typical time taken to complete the procedure and mention a listed service that is its closest equivalent.

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