Transverse colectomy cpt code. Nov 2, 2025 · For example, if a laparotomy incision is made and part of the ascending colon and the transverse colon are removed followed by an anastomosis between the remaining ends of the ascending and transverse colon, CPT 44140 should be coded. Jan 10, 2019 · The answer: “You should report CPT code 44146 (see Table 1). Jun 1, 2000 · The general partial colectomy code, 44140 (colectomy, partial; with anastomosis) should be used when portions of the colon are removed and the remaining sections are anastomosed. Oct 1, 2001 · Partial-colectomy codes are found in the Digestive System/Surgery section of CPT under "Intestines (Except Rectum). Feb 1, 2002 · As the highest-paid procedure, 48140 should be reimbursed at 100 percent. Feb 27, 2005 · If he has done so, you may report the add-on code +44139 (Mobilization [take-down] of splenic flexure performed in conjunction with partial colectomy [list separately in addition to primary procedure]) in addition to the appropriate colectomy code (44140-44160), says Terry A. A400 Subtotal colectomy/hemicolectomy (total right or left colon and a portion of transverse colon) A410 Plus resection of contiguous organ; example: small bowel, bladder [SEER Note: Code A400 includes extended (but less than total) right or left colectomy. " Although partial colectomy always involves resection, CPT does not use this term. Given the large number of individual procedure codes available for enterectomy and anastomosis procedures, please refer to your coding reference book or coding software to look up the associated Approach, Device and Qualifier that best align to the procedure code and body part you identified in Step 1 above. For example, if a laparotomy incision is made and part of the ascending colon and the transverse colon are removed followed by an anastomosis between the remaining ends of the ascending and transverse colon, CPT 44140 should be coded. Iowa Subscriber . The Current Procedural Terminology (CPT®) code for a hemicolectomy is 44140. Feb 1, 2002 · Question: How should I code an "en bloc" transverse colectomy with distal stomach, distal pancreas and spleen with vagotomy Roux-en-Y gastrojejunostomy and primary colonic anastomosis? This was done for a carcinoma of the transverse colon with involvement of the distal pancreas and stomach. Nov 2, 2025 · The anastomosis created during this procedure is a “colo-colonic” (or colon to colon anastomosis). This guide is intended to aid providers in appropriate procedure code selection for Colorectal surgery procedures. Iowa Subscriber Answer: The claim described should be coded: 43633 gastrectomy, partial, distal; with May 28, 2020 · The anastomosis created during this procedure is a “colo-colonic” (or colon to colon anastomosis). Both 43633 and 44140 will be reduced by 50 percent, following Medicare's multiple- surgery guidelines. The document reflects applicable and commonly billed procedure codes as well as the unadjusted national Medicare average rates assigned to the CPT®1 code. Although the CPT descriptor includes the term “colostomy,” the Medicare physician fee schedule work relative value unit (RVU) for this code is based on creation of either a colostomy or an ileostomy. Given the large number of individual procedure codes available for colectomy procedures, please refer to your coding reference book or coding software to look up the associated Approach, Device and Qualifier that best align to the procedure code and body part you identified in Step 1 above. This code is used to report a colectomy, partial; with anastomosis, which is the procedure typically performed during a hemicolectomy. Apr 17, 2008 · To report a partial colectomy, you should choose either 44140 (Colectomy, partial; with anastomosis) for a simple approach or, for a combined abdominal/transanal approach, 44147 ( abdominal and transanal approach). Fletcher, BS, CPC, CCS-P, CCS, healthcare coding consultant tci General Surgery Coding Alert - 2002 Issue 2 Reader Question: Transverse Colectomy Question: How should I code an "en bloc" transverse colectomy with distal stomach, distal pancreas and spleen with vagotomy Roux-en-Y gastrojejunostomy and primary colonic anastomosis? This was done for a carcinoma of the transverse colon with involvement of the distal pancreas and stomach. In this case, because the colon and small intestine are reconnected, 44160 more specifically describes the procedure. 40 Subtotal colectomy/hemicolectomy (total right or left colon and a portion of transverse colon) 41 Plus resection of contiguous organ; example: small bowel, bladder [SEER Note: Code 40 includes extended (but less than total) right or left colectomy. zgs xkq oqv afe esf dbc pmr bvl xey qsy tnb che dps lxc ruh