2016年1月7日 · “When performing a diagnostic or screening endoscopic procedure on a patient who is scheduled and prepared for a total colonoscopy, if the physician is unable to advance the colonoscope to the cecum or colon-small intestine anastomosis due to unforeseen circumstances, report 45378 (colonoscopy) or 44388 (colonoscopy through stoma) with modifier 53 and …

2017年10月24日 · CPT assistant Aug 2021 Volume 31 Issue 8 clarifies a colonoscopy reaching the cecum that needs a repeat procedure due to poor prep would not get a 52 or 53 modifier because the complete procedure was performed if it reaches the cecum.

2008年2月12日 · Laparoscopic cecectomy would usually be a 44205, since the cecum connects the colon to the terminal ileum.

2012年11月19日 · I found this on a 2010 post. I tried to forward but it wouldn't let me. The auther is elenamrobles. "I have coded this same scenario using the Lap Appendectomy ie 44970 with 44204 and added the modifier due to code 44970 is a column 2 code for 44204, but a modifier is allowed in order to differentiate between the services provided.

2009年7月14日 · Look at the illustrations in the front of the CPT book for the Digestive System, the Appendix is attached only to the cecum, if the cecum is removed the appendix would have to be removed too. I also checked the NCCI edits on the cms website. Code 44160 and 44950 are listed together with the status indicator (0) Hope this helps.

2017年5月5日 · 2017 CPT states (page 300, CPT 2017 Professional, published by AMA): “When performing a diagnostic or screening endoscopic procedure on a patient who is scheduled and prepared for a total colonoscopy, if the physician is unable to advance the colonoscope to the cecum or colon-small intestine anastomosis due to unforeseen circumstances, report 45378 …

2012年10月1日 · CPT® 2012 defines a colonoscopy as an exam of the entire colon from the rectum to the cecum, and may include the examination of the terminal ileum. The colon includes the rectum, sigmoid colon, descending colon, splenic flexure, transverse colon, ascending colon and cecum. Knowing your anatomy will assist you with proper coding.

2014年10月22日 · "a small wedge of cecum below base of the appendix was taken with the appendix specimen" Without reading the entire report, by the way that is written, it makes me suspect that the cecal wedge was incidental to the appendectomy because it was the attachment site of the appendix. If that is the case, I would only report the appendectomy.

2017年3月27日 · 44970 or 44160-52, 44204-52, or 49329? The surgeon informed me that "44970 - This code is the closest to what I did. The appendix was already out. There was a possible mucocele at the appendix stump so I laparoscopically took off the base of the cecum to include the appendiceal stump. There...

2013年5月1日 · Example 6: A colonoscopy is performed to the cecum. Pedunculated polyps in the transverse and des-cending colon are removed via hot snare; a hyperplastic rectal polyp is biopsied with cold forceps. In this case, although two polyps are removed with snare, 45385 is reported only once.