CPT code 44701 is an add-on code for intraoperative colon lavage, used to describe a specific procedure during surgery.
CPT code 44701 is an add-on code used to describe intraoperative colon lavage, a procedure performed during surgery to cleanse the colon. This code indicates that the lavage is an additional service provided alongside a primary surgical procedure, helping to ensure a clear surgical field and reduce the risk of complications.
For CPT code 44701, "Intraop colon lavage add-on," 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 59 - Distinct Procedural Service
- Used to indicate that the procedure is distinct or independent from other services performed on the same day.
4. Modifier 62 - Two Surgeons
- Used when two surgeons work together as primary surgeons performing distinct parts of a single reportable procedure.
5. Modifier 66 - Surgical Team
- Applied when a team of surgeons is required to perform the procedure.
6. Modifier 76 - Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
- Used when the same procedure is repeated by the same physician.
7. Modifier 77 - Repeat Procedure by Another Physician or Other Qualified Health Care Professional
- Used when the same procedure is repeated by a different physician.
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 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.
10. Modifier 80 - Assistant Surgeon
- Applied when an assistant surgeon is required during the procedure.
11. Modifier 81 - Minimum Assistant Surgeon
- Used when a minimum assistant surgeon is required.
12. 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.
13. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery
- Used when a physician assistant, nurse practitioner, or clinical nurse specialist 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 44701 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS) and is eligible for payment. However, as an add-on code, it must be billed in conjunction with a primary procedure. Healthcare providers should consult their local Medicare Administrative Contractor (MAC) for specific coverage guidelines and any potential limitations or requirements for reimbursement of this code.
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