How To Use CPT Code 44660
CPT 44660 describes the closure of an enterovesical fistula without the need for intestinal or bladder resection. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.
1. What is CPT Code 44660?
CPT 44660 is used to describe the closure of an enterovesical fistula, which is an abnormal passageway between the small intestines and the urinary bladder. This procedure is performed to treat or prevent infection or other complications associated with the fistula. Unlike other similar codes, CPT 44660 does not involve the removal of any part of the intestine or bladder.
2. Official Description
The official description of CPT code 44660 is: ‘Closure of enterovesical fistula; without intestinal or bladder resection.’
3. Procedure
- The provider begins the procedure by making an incision over the fistula, with the patient in a supine position on the operating table.
- Next, the provider carefully separates the intestines from the bladder to gain access to the fistula.
- The provider then closes the openings of the fistula in both the intestines and the bladder.
- After ensuring that there is no bleeding, the provider closes the abdominal incision in layers.
4. Qualifying circumstances
CPT 44660 is performed on patients with enterovesical fistulas that require closure. These fistulas can lead to complications such as infection, urinary tract issues, or other related problems. The procedure is suitable for patients who do not require any removal of the intestine or bladder. It is important to note that the provider must assess the patient’s condition and determine the need for the closure of the fistula.
5. When to use CPT code 44660
CPT code 44660 should be used when the provider performs the closure of an enterovesical fistula without the need for any intestinal or bladder resection. It is important to accurately document the procedure and ensure that it meets the specific requirements outlined in the code description.
6. Documentation requirements
To support a claim for CPT 44660, the provider must document the following information:
- Patient’s diagnosis and the need for enterovesical fistula closure
- Details of the procedure, including the incision, separation of intestines from the bladder, closure of fistula openings, and closure of the abdominal incision
- Any complications or additional procedures performed during the same session
- Signature of the provider performing the procedure
7. Billing guidelines
When billing for CPT 44660, ensure that the procedure meets the specific requirements outlined in the code description. It is important to accurately document the procedure and any additional services provided during the same session. Additionally, be aware of any specific guidelines or restrictions set by insurance providers or payers.
8. Historical information
CPT 44660 was added to the Current Procedural Terminology system on January 1, 1990. The code has not undergone any updates since its addition. However, it is important to stay updated with any changes or revisions to the code in the future.
9. Examples
- A provider performs the closure of an enterovesical fistula without any intestinal or bladder resection to prevent infection in a patient.
- A patient with an enterovesical fistula undergoes a procedure where the provider closes the fistula openings in the intestines and bladder without removing any part of the intestine or bladder.
- A provider performs the closure of an enterovesical fistula to treat complications in a patient, without the need for intestinal or bladder resection.
- A patient with an enterovesical fistula undergoes a procedure where the provider separates the intestines from the bladder and closes the fistula openings without any removal of the intestine or bladder.
- A provider performs the closure of an enterovesical fistula to prevent further complications in a patient, without the need for any intestinal or bladder resection.
