tci Part B Insider - 2008 Issue 37

Make the Most of Colostomy Closures -- Here's How

Waiting for pathology results helps to optimize payment.When reporting an enterostomy closure, you should immediately ask yourself, "Did the surgeon also perform resection and anastomosis of the bowel?" If so, you've got separately reportable services that can significantly boost the surgeon's compensation.Select 44620 for Closure OnlyFor a basic takedown of enterostomy without bowel resection, you would report 44620 (Closure of enterostomy, large or small intestine).What you'll see in the operative report: Documentation will describe taking down the stoma of the colon and sewing it back together. The closure can occur weeks or months after the...

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