45113 Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy.45112 Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis).45111 Proctectomy partial resection of rectum, transabdominal approach.45110 Proctectomy complete, combined abdominoperineal, with colostomy.44799 Unlisted procedure, small intestine.
44322 Colostomy or skin level cecostomy with multiple biopsies (eg, for congenital megacolon) (separate procedure).44320 Colostomy or skin level cecostomy.44160 Colectomy, partial with removal of terminal ileum with ileocolostomy.44158 Colectomy, total abdominal, without proctectomy with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed.44157 Colectomy, total abdominal, without proctectomy with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed.44156 Colectomy, total abdominal, with proctectomy with continent ileostomy.44155 Colectomy, total abdominal, with proctectomy with ileostomy.44151 Colectomy, total abdominal, without proctectomy with continent ileostomy.44150 Colectomy, total abdominal, without proctectomy with ileostomy or ileoproctostomy.44147 Colectomy, partial abdominal and transanal approach.44146 Colectomy, partial with coloproctostomy (low pelvic anastomosis), with colostomy.44145 Colectomy, partial with coloproctostomy (low pelvic anastomosis).44144 Colectomy, partial with resection, with colostomy or ileostomy and creation of mucofistula.44143 Colectomy, partial with end colostomy and closure of distal segment (Hartmann type procedure).44141 Colectomy, partial with skin level cecostomy or colostomy.44140 Colectomy, partial with anastomosis.+44139 Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy.
The CPT codes for colectomy are as follows: To assign the correct codes, experienced medical coders carefully examine the operative reports to determine what procedure or procedures the surgeon performed. Laproscopic colectomy involves using a laproscope to perform the surgery through very small “keyhole” incisions in the abdomen. In open colectomy, a large incision is made in abdomen and the diseased part of the colon is removed. The type of operation performed depends on the condition, size of the diseased area or tumor, location, as well as considerations such as health, age, anesthesia risk. There are three approaches to colon surgery: open, laproscopic repair, and robot-assisted laparoscopic resection. Abdominal perineal resection – the removal of the sigmoid colon, rectum and anus and construction of a permanent colostomy.Low anterior resection – removal of the upper part of the rectum to treat cancer.Sigmoidectomy – removal of the lower part of the colon which is connected to the rectum.Polypectomy – removing a cancerous polyp or polyps from the colon or rectum using a colonoscope.Proctocolectomy – removing both the colon and rectum.Hemicolectomy – removing the right or left portion of the colon.Total colestomy – the entire colon is removed and the small intestine is connected to the rectum.There are different types of surgical procedures involving the colon: Injury to the bowel, rectum or perineum.Inflammatory bowel disease include ulcerative colitis and Crohn’s disease.A reliable outsourcing firm specialized in general surgery medical billing and coding can help reduce claim rejections and minimize payment delays.Ī colectomy is performed to treat different types of conditions and diseases that may affect the intestines. Given the large number of individual procedure codes available for colectomy procedures, medical billing services are a practical option for surgeons to assign the right CPT codes, stay on top of regulations, and bill their services for maximum reimbursement. An operation to remove part of the intestine (bowel), colectomy is a common procedure performed by general surgeons and colon and rectal surgeons.