CPT code 44147 is for the partial removal of the colon, detailing a specific surgical procedure in healthcare billing and documentation.
CPT code 44147 is for the partial removal of the colon, specifically indicating a surgical procedure where a segment of the colon is excised. This procedure may be performed to treat conditions such as colon cancer, diverticulitis, or other diseases affecting the colon. The code reflects the complexity and specifics of the surgery, including the approach and extent of the resection.
For CPT code 44147 (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: 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 53 - Discontinued Procedure: Applied when a procedure is 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: 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 highly complex procedure is carried out by a surgical team.
8. Modifier 76 - Repeat Procedure or Service by Same Physician: Applied when a procedure or service is repeated by the same physician subsequent to the original procedure or service.
9. Modifier 77 - Repeat Procedure by Another Physician: Used when a procedure or service is repeated by another physician subsequent to the original procedure or service.
10. 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 related procedure is performed during the postoperative period of the initial procedure.
11. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when an unrelated procedure or service is performed by the same physician during the postoperative period.
12. Modifier 80 - Assistant Surgeon: Applied when an assistant surgeon is required during the procedure.
13. Modifier 81 - Minimum Assistant Surgeon: Used when a minimum assistant surgeon is required during the procedure.
14. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Applied when an assistant surgeon is required and a qualified resident surgeon is not available.
15. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery: Used when these non-physician practitioners assist in surgery.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 44147 is reimbursed by Medicare, but the reimbursement is subject to the guidelines and rates set forth in the Medicare Physician Fee Schedule (MPFS). The MPFS outlines the payment rates for services provided by physicians and other healthcare professionals.
Additionally, the reimbursement for CPT code 44147 may vary depending on the specific Medicare Administrative Contractor (MAC) that processes claims in your region. Each MAC has the authority to interpret Medicare policies and determine the coverage and payment for services within their jurisdiction.
Therefore, it is essential to consult the MPFS and your local MAC for the most accurate and up-to-date information regarding the reimbursement of CPT code 44147.
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