CPT CODES

CPT Code 44139

CPT code 44139 is a medical billing code used for the mobilization of the colon during surgical procedures.

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What is CPT Code 44139

CPT code 44139 is used to describe the surgical procedure for the mobilization of the colon. This involves the surgical detachment of the colon from its surrounding tissues to allow for better access or repositioning during a surgical operation. This procedure is often performed in the context of colorectal surgeries, such as resections or repairs, to ensure that the colon can be adequately manipulated without compromising its function or blood supply.

Does CPT 44139 Need a Modifier?

Modifiers for CPT Code 44139 - Mobilization of Colon:

1. Modifier 22 - Increased Procedural Services: Used when the work required to provide a service is substantially greater than typically required.

2. Modifier 51 - Multiple Procedures: Applied when multiple procedures are performed during the same surgical session.

3. Modifier 52 - Reduced Services: Used when a service or procedure is partially reduced or eliminated at the physician's discretion.

4. Modifier 59 - Distinct Procedural Service: Indicates that a procedure or service was distinct or independent from other services performed on the same day.

5. Modifier 62 - Two Surgeons: Used when two surgeons work together as primary surgeons performing distinct parts of a procedure.

6. Modifier 66 - Surgical Team: Applied when a team of surgeons is required to perform a complex procedure.

7. Modifier 76 - Repeat Procedure by Same Physician: Used when a procedure or service is repeated by the same physician or other qualified healthcare professional.

8. Modifier 77 - Repeat Procedure by Another Physician: Applied when a procedure or service is repeated by another physician or other qualified healthcare professional.

9. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Used when a patient requires a return to the operating room for a related procedure during the postoperative period.

10. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Indicates that a procedure or service performed during the postoperative period was unrelated to the original procedure.

11. Modifier 80 - Assistant Surgeon: Used when an assistant surgeon is required during the procedure.

12. Modifier 81 - Minimum Assistant Surgeon: Applied when a minimum assistant surgeon is required during the procedure.

13. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Used when an assistant surgeon is required and a qualified resident surgeon is not available.

14. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery: Indicates that a non-physician practitioner assisted in the surgery.

Each of these modifiers provides additional information about the circumstances under which the procedure was performed, ensuring accurate billing and appropriate reimbursement.

CPT Code 44139 Medicare Reimbursement

The CPT code 44139, which involves the mobilization of the colon, is reimbursed by Medicare. To determine the reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS), which outlines the payment rates for various medical services and procedures covered by Medicare.

Additionally, it is important to consult with the relevant Medicare Administrative Contractor (MAC) for specific regional guidelines and any potential variations in reimbursement policies. The MACs are responsible for processing Medicare claims and can provide detailed information on coverage and payment for CPT code 44139.

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