CPT CODES

CPT Code 44140

CPT code 44140 is for the partial removal of the colon, a procedure used to treat various colon conditions.

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What is CPT Code 44140

CPT code 44140 is for the partial removal of the colon, which involves surgically excising a portion of the colon while preserving the remaining sections. This procedure is typically performed to treat conditions such as colon cancer, diverticulitis, or inflammatory bowel disease. The goal is to alleviate symptoms and improve the patient's overall health by removing the affected segment of the colon.

Does CPT 44140 Need a Modifier?

For CPT code 44140 (Partial removal of colon), the following modifiers may be applicable:

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

2. Modifier 51 - Multiple Procedures: Used 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 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.

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

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

7. Modifier 66 - Surgical Team: Used when a highly complex procedure is carried out by a surgical team.

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: Used when a related procedure is performed during the postoperative period of the initial procedure.

9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when an unrelated procedure is performed by the same physician during the postoperative period of the initial procedure.

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

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

12. 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.

13. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery: Used when these non-physician practitioners assist in surgery.

Each of these modifiers serves a specific purpose and should be used appropriately to ensure accurate billing and reimbursement.

CPT Code 44140 Medicare Reimbursement

CPT code 44140 is reimbursed by Medicare. This code is included in the Medicare Physician Fee Schedule (MPFS) and is eligible for payment. Healthcare providers should consult their local Medicare Administrative Contractor (MAC) for specific reimbursement rates and any regional variations in coverage policies.

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