CPT code 44660 is used to describe the surgical repair of a bowel-bladder fistula, a connection between the bowel and bladder.
CPT code 44660 is used to describe the surgical procedure for repairing a fistula that has formed between the bowel and the bladder. This condition can lead to significant complications, including infection and urinary issues. The procedure aims to close the abnormal connection, restoring normal function and preventing further health problems.
For CPT code 44660 (Repair bowel-bladder fistula), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services
- Use this modifier if the procedure required significantly more work than typically required. This could be due to complications or other factors that increased the complexity of the surgery.
2. Modifier 51 - Multiple Procedures
- Apply this modifier if multiple procedures were performed during the same surgical session. This helps indicate that the repair of the bowel-bladder fistula was one of several procedures.
3. Modifier 52 - Reduced Services
- Use this modifier if the procedure was partially reduced or eliminated at the physician's discretion. This might occur if the full extent of the planned surgery was not necessary.
4. Modifier 53 - Discontinued Procedure
- This modifier is appropriate if the procedure was started but discontinued due to extenuating circumstances or those that threatened the well-being of the patient.
5. Modifier 59 - Distinct Procedural Service
- Apply this modifier to indicate that the procedure was distinct or independent from other services performed on the same day. This is useful when the repair of the bowel-bladder fistula is performed in conjunction with other procedures that are not typically reported together.
6. Modifier 62 - Two Surgeons
- Use this modifier if two surgeons were required to perform the procedure due to its complexity. Each surgeon should report their distinct operative work.
7. Modifier 66 - Surgical Team
- This modifier is applicable if the procedure required a surgical team due to its complexity. This indicates that multiple professionals were involved in the surgery.
8. Modifier 76 - Repeat Procedure by Same Physician
- Use this modifier if the same physician had to repeat the procedure on the same day due to complications or other reasons.
9. Modifier 77 - Repeat Procedure by Another Physician
- Apply this modifier if a different physician had to repeat the procedure on the same day.
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
- This modifier is used if the patient had to return to the operating room for a related procedure during the postoperative period.
11. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Use this modifier if an unrelated procedure was performed by the same physician during the postoperative period of the initial surgery.
12. Modifier 80 - Assistant Surgeon
- Apply this modifier if an assistant surgeon was necessary for the procedure.
13. Modifier 81 - Minimum Assistant Surgeon
- Use this modifier if an assistant surgeon was required for a minimal portion of the procedure.
14. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- This modifier is used when an assistant surgeon is necessary because a qualified resident surgeon was not available.
15. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery
- Apply this modifier if a non-physician practitioner assisted in the surgery.
These modifiers help provide additional context and detail about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
CPT code 44660 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS), which indicates that it is a covered service. However, coverage and payment may vary depending on the specific Medicare Administrative Contractor (MAC) in your region. Providers should consult their local MAC for detailed coverage guidelines and reimbursement rates for CPT 44660.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. For instance, ensure you're receiving full reimbursement for CPT code 44660. Schedule a demo today to see how RevFind can optimize your financial outcomes.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
