CPT code 44146 is for the partial removal of the colon, detailing the specific surgical procedure for accurate billing and documentation.
CPT code 44146 is for the partial removal of the colon, specifically indicating a surgical procedure where a segment of the colon is excised. This code is used to document and bill for the surgical intervention aimed at treating conditions such as colon cancer, diverticulitis, or other gastrointestinal disorders that necessitate the removal of a portion of the colon.
For CPT code 44146, which pertains to the partial removal of the 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. This could be due to factors such as increased complexity or time.
2. Modifier 51 (Multiple Procedures): Applied when multiple procedures are performed during the same surgical session. This indicates that the procedure was one of several performed.
3. Modifier 52 (Reduced Services): Used when the procedure is partially reduced or eliminated at the physician's discretion. This modifier indicates that the service provided was less than usually required.
4. Modifier 53 (Discontinued Procedure): Applied 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. This is often used to bypass National Correct Coding Initiative (NCCI) edits.
6. Modifier 62 (Two Surgeons): Applied when two surgeons work together as primary surgeons performing distinct parts of a single reportable procedure.
7. Modifier 66 (Surgical Team): Used when a complex procedure requires the services of several physicians, often of different specialties, working together as a 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): Applied when a patient requires a 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 or service performed during the postoperative period is unrelated to the original procedure.
10. Modifier 80 (Assistant Surgeon): Applied when an assistant surgeon is required to help with the procedure.
11. Modifier 81 (Minimum Assistant Surgeon): Used when an assistant surgeon provides minimal assistance during the procedure.
12. Modifier 82 (Assistant Surgeon (when qualified resident surgeon not available)): Applied when an assistant surgeon is necessary because 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 a non-physician practitioner assists in the surgery.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
CPT code 44146 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS), which indicates that it is a covered service. However, reimbursement may vary depending on factors such as geographic location and the specific Medicare Administrative Contractor (MAC) processing the claim. Providers should consult their local MAC for specific coverage and payment guidelines related to CPT 44146.
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