Enterotomy, enterostomy, enterectomy, colotomy, colostomy
or colectomy – not only is intestinal coding a
tongue twister, it’s also a challenge to code
and bill correctly. But don’t reach for the antacid – join Jan
Rasmussen, a surgical coding guru, for this
nuts-and-bolts session that will help you conquer your
intestinal coding worries, including hints to:
- How the intestinal anatomy works, from the duodenum
to the terminal ileum, from the cecum to the rectum.
Understanding the anatomy brings you to the correct
section of the CPT book and limits the number of codes
you’ll need to choose from.
- Determine if a procedure (e.g., laparoscopic- or
hand-assisted) is laparoscopic or open. That may be
difficult when documentation states that “incision
was extended, scope was removed,” because coders
are trained to look at open procedures when they see
the word “incision.”
- Bill for multiple intestinal procedures during the
same session. Here’s a hint: Count the number
of resections and anastomoses.
- Bill for a laparoscopic procedure that is immediately
followed by an open procedure.
Hint: Was the laparoscopic
procedure diagnostic or therapeutic?
- Report intestinal and non-intestinal procedures performed
during the same session. Hint: Check your CPT designations
and CCI edits.
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Approved for 1.5 CEUs
(ACS-GS, SCP-GS) |

Approved for 1 CEU |

Approved for 3 CEUs |

This program has the prior approval of the American
Academy of Professional Coders (AAPC) for 1.5 continuing
education hours. Granting of prior approval in
no way constitutes endorsement by AAPC of the
program content or the program sponsor. |
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