© Copyright 2025 American Medical Association. All rights reserved.
A colonoscopy through stoma is a specialized medical procedure that involves the examination of the colon via an existing stoma, such as a colostomy. This procedure is specifically designed for the removal of foreign bodies that may have become lodged within the colon. During the colonoscopy, a colonoscope—a flexible tube equipped with a camera and light—is inserted through the stoma and advanced through the colon until it reaches the location of the foreign body. The procedure may utilize a balloon catheter to facilitate the removal of smooth-edged foreign objects. In this case, the catheter is maneuvered past the foreign body, and once positioned correctly, the balloon is inflated to help dislodge the object. After inflation, the catheter is carefully withdrawn, pulling the foreign body out of the colon. For more challenging cases where the foreign body is impacted, forceps are employed. These forceps are introduced through the endoscope, allowing the physician to grasp the impacted object securely and remove it from the colon. After the successful extraction of the foreign body or bodies, the colonoscope is reinserted to conduct a thorough examination of the colon for any signs of perforation or other potential injuries that may have occurred during the procedure.
© Copyright 2025 Coding Ahead. All rights reserved.
The colonoscopy through stoma with removal of foreign body(s) is indicated in specific clinical scenarios where a foreign object has become lodged within the colon. The following conditions may warrant this procedure:
The procedure for performing a colonoscopy through stoma with removal of foreign body(s) involves several critical steps, each designed to ensure the safe and effective extraction of the foreign object.
Following the colonoscopy through stoma and removal of foreign body(s), the patient is monitored for any immediate complications. It is important to assess for signs of perforation, bleeding, or infection. The patient may experience some discomfort or cramping, which is typically managed with analgesics. Instructions regarding diet and activity levels post-procedure are provided, and follow-up appointments may be scheduled to ensure proper recovery and to address any ongoing concerns related to the stoma or the procedure itself.
| Short Descr | COLONOSCOPY FOR FOREIGN BODY | Medium Descr | COLONOSCOPY STOMA W/RMVL FOREIGN BODY | Long Descr | Colonoscopy through stoma; with removal of foreign body(s) | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special payment adjustment rules for multiple endoscopic procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Endoscopic Base Code | 44388 Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8D - Endoscopy - colonoscopy | MUE | 1 | CCS Clinical Classification | 229 - Nonoperative removal of foreign body |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | CR | Catastrophe/disaster related | GC | This service has been performed in part by a resident under the direction of a teaching physician | PT | Colorectal cancer screening test; converted to diagnostic test or other procedure |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| 2015-01-01 | Changed | Description Changed |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.