How To Use CPT Code 44147

CPT 44147 describes a specific surgical procedure known as partial colectomy, which involves the removal of a portion of the colon using both abdominal and transanal approaches. This article will provide an overview of CPT code 44147, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 44147?

CPT 44147 is used to describe a surgical procedure called partial colectomy, which involves the removal of a specific portion of the colon. This procedure is performed using both abdominal and transanal approaches, allowing the provider to access and remove the affected area of the colon. The cut ends of the colon are then reconnected through an anastomosis, which is a surgical connection between two structures. Partial colectomy is typically performed in patients with conditions such as colorectal cancer or Crohn’s disease.

2. Official Description

The official description of CPT code 44147 is: ‘Colectomy, partial; abdominal and transanal approach.’

3. Procedure

1. The provider begins by making an incision in the abdomen to access the colon.
2. Using a transanal approach, the provider mobilizes the lower end of the colon and the rectum.
3. The affected portion of the colon is then excised.
4. The provider rejoins the ends of the colon by performing an anastomosis, connecting them end to end.
5. The provider closes the abdominal incision and transanal incisional wounds by suturing the layers of soft tissue together.

4. Qualifying circumstances

Partial colectomy is typically performed in patients with conditions such as colorectal cancer or Crohn’s disease. These patients may experience symptoms such as abdominal pain, fever, and weight loss. The procedure is performed by a qualified healthcare provider who has the necessary expertise in performing colectomies. The use of both abdominal and transanal approaches is a distinguishing factor for CPT code 44147.

5. When to use CPT code 44147

CPT code 44147 should be used when a provider performs a partial colectomy using both abdominal and transanal approaches. It is important to ensure that the procedure meets the specific criteria outlined in the code description. If the procedure does not involve both approaches, a different CPT code should be used to accurately report the service.

6. Documentation requirements

To support a claim for CPT code 44147, the provider must document the following information:

• Patient’s diagnosis and the medical necessity for the partial colectomy
• Details of the surgical procedure, including the use of both abdominal and transanal approaches
• Date of the procedure
• Any additional relevant information, such as the specific portion of the colon removed
• Signature of the performing provider

7. Billing guidelines

When billing for CPT code 44147, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The provider should use the appropriate CPT code based on the specific details of the procedure performed. It is also important to follow any additional guidelines or requirements set forth by the payer or insurance company. It is recommended to review the official coding guidelines and any relevant payer policies to ensure accurate and appropriate billing.

8. Historical information

CPT code 44147 was added to the Current Procedural Terminology system on January 1, 1990. In 2017, it was added to the Inpatient Only (IPO) list for Medicare reimbursement.

9. Examples

1. A patient with colorectal cancer undergoes a partial colectomy using both abdominal and transanal approaches.
2. A provider performs a partial colectomy on a patient with Crohn’s disease, removing the affected portion of the colon and reconnecting the cut ends.
3. A partial colectomy is performed on a patient with a large polyp in the colon, using both abdominal and transanal approaches.
4. A provider performs a partial colectomy on a patient with diverticulitis, removing the affected portion of the colon and performing an anastomosis.
5. A patient with ulcerative colitis undergoes a partial colectomy using both abdominal and transanal approaches to alleviate symptoms and improve quality of life.
6. A provider performs a partial colectomy on a patient with a perforated colon, using both abdominal and transanal approaches to repair the damage.
7. A patient with a colon obstruction undergoes a partial colectomy using both abdominal and transanal approaches to remove the blockage.
8. A provider performs a partial colectomy on a patient with a large polyp in the colon, using both abdominal and transanal approaches to remove the polyp and prevent further complications.
9. A partial colectomy is performed on a patient with a benign tumor in the colon, using both abdominal and transanal approaches to remove the tumor and ensure the patient’s health and well-being.
10. A provider performs a partial colectomy on a patient with a severe case of diverticulitis, using both abdominal and transanal approaches to remove the affected portion of the colon and alleviate symptoms.