Medical Coding

Category - 40,000 Series

A 60-year-old woman developed a rectovesical fistula and needs to have it closed. Because of the extent of her fistula, she also requires a colostomy. What CPT code is appropriate?
  1. 45800
  2. 45805
  3. 45820
  4. 45825
Explanation
Answer: B - 45805 is correct because this was a closure of rectovesical fistula with colostomy.
Code 45800 is incorrect because this is closure of rectovesical fistula without colostomy. Code 45820 is incorrect because this is closure of rectourethral fistula without colostomy. Code 45825 is incorrect because this is the code for closure of rectourethral fistula with colostomy
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