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Small bowel resection w/ creation of juejunostomy & mucous fistula

Eva Posted Thu 05th of February, 2015 15:11:55 PM

Is there a code comparable to 44144 but for the small bowel, no large intestine was involved. The jejunum and ilum ends were each brought out as stomas.

SuperCoder Answered Mon 09th of February, 2015 09:05:32 AM

Hello,

Please refer the code 44125 for the same. This seems to be the closest.

Thanks.

Eva Posted Mon 09th of February, 2015 14:09:41 PM

But would that cover the two stoma's?

SuperCoder Answered Tue 10th of February, 2015 03:35:48 AM

Hi,

For additional stoma you can use 44310 with -59.

Thanks

Eva Posted Wed 11th of February, 2015 17:36:51 PM

Why wouldnt we code this as 44130? The physician resected the distal ileum and anastamosed 44120. He then tried anastamosing the jejunum but couldnt so he brought out both ends the proximal ileum and jejunum as stomas. So would we bill
44130
44120-59
or
44130-59
44120???
Or should we still bill as you said above 44125 44310-59

SuperCoder Answered Thu 12th of February, 2015 06:24:06 AM

Hello,

We answer the query as per the information provided by the client.So, we always encourage our clients to provide all relevant info at the very first time so that inconvenience as well as delay in resolution can be avoided.As we received the entire scenario now we will better be able to help you out, more efficiently.

Here are the reasons we can't use 44130 and 44120 in the given case:

1. As per CCI Edits you can not bill 44130 with 44120 at all as no modifier allowed with 44130, and moreover 44130 is a separate procedure.

2. 44120 States resection with 'anastomosis' which didn't take place in this case.

The provider tried but failed, so we can't report that failed service, and will only be reporting resection and enterostomy of ileum which can be covered under 44125, and for additional enterostomy we can use 44310 which is allowed with -59 if performed with 44125.

Hope this answers your queries.

Thanks.

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