coding help

Hey CCO! We have a patient with colostomy status who underwent a laparoscopic colostomy takedown along with low anterior resection and anastomosis but also a diverting ileostomy was created. I wanted to get some guidance in reporting the correct CPTs 44227, 44187 vs 44208, thank you!

Hello all, A member of my team has been dinged by our internal auditors for coding 46270 and 46050 on the same claim, stating they are not separately reportable. Here is a description of the surgery: "A hill ferguson retractor was placed to visualize the rectum and anal canal. No internal...

One of my colleagues had coded the following and our auditing team said it should be coded differently. We are posting here to get some more opinions. We coded 44180 and the auditing team said it should be 49320, below is the scrubbed OP note: "We placed an Optiview 5 mm laparoscopic port...

I'm having problems with coding this. I have read that if it doesn't specify what type of fracture it is to code this as closed. Can someone look over this and if this is wrong please tell me what I'm doing wrong and how to code this correctly? A 23 year old male who previously suffered a...

Can we report a flex sigmoidoscopy CPT 45330 with CPT 46922 and 46910 if the flex sig was done to check for proximal bleeding? The patient has never had a screening study. I checked the CCI edits for these codes, and nothing jumps out as a bundling error. Our internal auditors are saying this is...

Can we report CPT 45300 with 44204 and 44207 if the procto is being done to evaluate the rectum for passage of the stapler not to check anastomotic integrity?

Needing guidance on coding for the below procedures and ICD 10 coding: Procedure Performed: Anal sphincteroplasty (overlapping with perineal and levator reconstruction with vaginoplasty and anoplasty) DX: Cloaca from traumatic obstetric vaginal delivery. Dx: Sphincter Defect

We have a patient that had undergone a coccygectomy with excision of complex presacral cyst, this was all done by the Kraske technique. Our coding team needs help determining the correct CPT and ICD-10 code for the excision of presacral/retrorectal cyst.