CPT code 44132 is a medical billing code for an enterectomy performed using a cadaver donor.
CPT code 44132 is used to describe a surgical procedure involving an enterectomy performed on a cadaver donor. This procedure entails the removal of a portion of the intestine from a deceased donor for the purpose of transplantation or research. It is specifically categorized under surgical procedures related to the intestines and is relevant for healthcare providers involved in organ transplantation and surgical interventions.
For CPT code 44132, which pertains to enterectomy from a cadaver donor, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services
- Used when the work required to provide a service is substantially greater than typically required. This could be due to complications or other factors that increase the complexity of the procedure.
2. Modifier 52 - Reduced Services
- Applied when a service or procedure is partially reduced or eliminated at the physician's discretion. This might be relevant if the enterectomy was not completed as initially planned.
3. Modifier 53 - Discontinued Procedure
- Used when a procedure is started but discontinued due to extenuating circumstances or those that threaten the well-being of the patient.
4. Modifier 59 - Distinct Procedural Service
- Indicates that a procedure or service was distinct or independent from other services performed on the same day. This could be relevant if multiple procedures are performed and need to be billed separately.
5. Modifier 66 - Surgical Team
- Used when a complex procedure requires the services of several physicians, often of different specialties, working together as a team.
6. Modifier 76 - Repeat Procedure by Same Physician
- Applied when the same procedure is repeated by the same physician. This might be relevant in cases where multiple enterectomies are performed on the same patient.
7. Modifier 77 - Repeat Procedure by Another Physician
- Used when the same procedure is repeated by a different physician. This could be applicable in a multi-disciplinary team setting.
8. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period
- Indicates an unplanned return to the operating room for a related procedure during the postoperative period of the initial surgery.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Used when a procedure performed during the postoperative period is unrelated to the original procedure.
10. Modifier 80 - Assistant Surgeon
- Applied when an assistant surgeon is required for the procedure.
11. Modifier 81 - Minimum Assistant Surgeon
- Used when an assistant surgeon is required for a portion of the procedure.
12. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Indicates that an assistant surgeon was necessary because a qualified resident surgeon was not available.
13. Modifier 99 - Multiple Modifiers
- Used when two or more modifiers are necessary to describe the service provided.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
Determining whether CPT code 44132 is reimbursed by Medicare involves consulting the Medicare Physician Fee Schedule (MPFS) and the guidelines set forth by the Medicare Administrative Contractor (MAC) for your specific region. The MPFS is a comprehensive listing of the maximum fees Medicare will pay for various services, and it is updated annually.
To verify if CPT code 44132 is reimbursed, you would need to check the current MPFS. This can be done through the Centers for Medicare & Medicaid Services (CMS) website or by using specific software tools designed for this purpose. Additionally, MACs, which are private health care insurers that have been awarded a geographic jurisdiction to process Medicare Part A and Part B medical claims, may have specific guidelines or local coverage determinations (LCDs) that affect reimbursement for this code.
In summary, to determine if CPT code 44132 is reimbursed by Medicare, you should review the MPFS and consult with your regional MAC for any specific coverage policies.
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