How To Use CPT Code 44143

CPT 44143 describes a specific surgical procedure known as a partial colectomy with end colostomy and closure of the distal segment, also referred to as a Hartmann type procedure. This article will provide an overview of the code, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of when CPT 44143 may be used.

1. What is CPT Code 44143?

CPT 44143 is a code used to describe a surgical procedure called a partial colectomy with end colostomy and closure of the distal segment. This procedure involves the removal of a portion of the colon, specifically the affected part, and the creation of a colostomy by bringing the upper end of the colon through a separate incision on the skin of the abdomen. The lower end of the colon is then closed and left inside the abdomen. It is important to note that this procedure is also known as a Hartmann type procedure.

2. Official Description

The official description of CPT code 44143 is: ‘Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure).’ It is important to mention that for laparoscopic procedures, a different code, 44206, should be used.

3. Procedure

1. During a partial colectomy with end colostomy and closure of the distal segment, the healthcare provider makes an incision in the abdomen to access the affected portion of the colon.
2. The provider then removes the affected part of the colon, along with any necessary blood vessels and lymph nodes.
3. Next, the upper end of the colon is brought up to the level of the abdomen skin and sewn to the skin through a separate incision, creating a colostomy.
4. The lower end of the colon is closed using staples or sutures and left inside the abdomen.
5. The provider ensures there is no bleeding, removes any instruments, and closes the incision made for the colectomy.

4. Qualifying circumstances

Partial colectomy with end colostomy and closure of the distal segment, or CPT 44143, is typically performed in patients with specific conditions such as colorectal cancer or Crohn’s disease. Colorectal cancer is a type of cancer that affects the colon or rectum, while Crohn’s disease is an inflammatory condition that affects the gastrointestinal tract. The procedure may be necessary to remove the affected portion of the colon and provide relief from symptoms such as abdominal pain, fever, and weight loss. It is important to note that this procedure is performed by a healthcare provider who is qualified to perform surgical interventions.

5. When to use CPT code 44143

CPT code 44143 should be used when a partial colectomy with end colostomy and closure of the distal segment is performed. It is important to ensure that the procedure meets the specific criteria outlined in the official description. This code should not be used for laparoscopic procedures, as a separate code, 44206, is available for those cases.

6. Documentation requirements

Documentation is crucial when reporting CPT code 44143. The following information should be included in the documentation:

• Patient’s diagnosis necessitating the partial colectomy
• Details of the procedure performed, including the creation of the colostomy and closure of the distal segment
• Date of the procedure
• Any additional relevant information, such as the presence of complications or other procedures performed simultaneously
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 44143, it is important to ensure that the procedure meets the specific criteria outlined in the official description. Additionally, it is essential to follow any specific billing guidelines provided by the payer. It is also important to note that CPT code 44143 should not be reported with other codes unless they are performed in the previous seven days. It is recommended to review the range of codes from 44140 to 44147 to ensure the most appropriate code is selected for reporting.

8. Historical information

CPT code 44143 was added to the Current Procedural Terminology system on January 1, 1990. The code has undergone no updates since its addition. It is important to stay updated with any changes or revisions to the code in future editions of the CPT manual.

9. Examples

1. A patient with colorectal cancer undergoes a partial colectomy with end colostomy and closure of the distal segment to remove the affected portion of the colon.
2. A healthcare provider performs a partial colectomy with end colostomy and closure of the distal segment in a patient with Crohn’s disease to alleviate symptoms and improve quality of life.
3. During a surgical procedure, a partial colectomy with end colostomy and closure of the distal segment is performed to address complications arising from diverticulitis.
4. A patient with a severe infection in the colon undergoes a partial colectomy with end colostomy and closure of the distal segment to remove the infected portion and prevent further complications.
5. A healthcare provider performs a partial colectomy with end colostomy and closure of the distal segment in a patient with a perforated colon due to trauma or injury.
6. During a surgical intervention, a partial colectomy with end colostomy and closure of the distal segment is performed to address complications arising from inflammatory bowel disease.