Physician Codes

Physician Diagnostic Codes and Procedural Codes that may be usedto file Insurance Reimbursement: You will need to have your physician write you a prescription with one of the Diagnostic Codes below and when we receive that in our office we can write you a detailed receipt with the corresponding preocedural code for you to submit to your insurance company for reimbursement.

 

CPT Codes:
- CPT 74283 Therapeutic Enema
- CPT 97139c Unlisted Therapeutic Procedure (Removal of Impaction)
- CPT 45915 Removal of Fecal Impaction of Foreign Body
- CPT 45999 Unlisted procedure, Rectum or Anus
 
 
2010 ICD-9-CM Diagnosis Codes:
     005.90 –  Food poisoning unspecified
*  Any of several acute conditions ranging from mild to life-threatening that result from eating
    food containing toxins or
    pathogenic microorganisms.
    112.10 –  Candidiasis of vulva and vagina
*  Infection of the vulva and vagina with a fungus of the genus CANDIDA.
    129      –  Intestinal parasitism unspecified
*  Infections of the gastrointestinal system with parasites, commonly involving protozoa or
    parasitic worms.
    278.00 –  Obesity unspecified
*  Excessively high accumulation of body fat or adipose tissue in relation to lean body mass;
    the amount of body fat
   (or adiposity) includes concern for both the distribution of fat throughout the body and the 
   size of the adipose tissue
   deposits; individuals are usually at high clinical risk because of excess amount of body fat
  (BMI greater than 30).
*  Having a high amount of body fat. A person is considered obese if they have a body mass
    index (BMI) of 30 or more.
   278.02 –  Overweight
   560.30 –  Impaction of intestine unspecified
   560.39 –  Other impaction of intestine
*  Feces wedged in intestine.
   560.89 –  Other specified intestinal obstruction
   560.90 –  Unspecified intestinal obstruction
*  Any impairment, arrest, or reversal of the normal flow of intestinal contents toward the
    anus.
    564.00 –  Unspecified constipation
*  Other forms of abnormal feces or difficult passage of feces.
*  Condition in which bowel movements are infrequent or incomplete.
*  Decrease in normal frequency of defecation accompanied by difficult or incomplete
    passage of stool and/or passage of
    excessively hard, dry stool.
*  Constipation; irregular and infrequent or difficult evacuation of the bowels.
    564.01 –  Slow transit constipation
    564.02 –  Outlet dysfunction constipation
    564.09 –  Other constipation
    564.10 –  Irritable bowel syndrome
*  Chronic noninflammatory disease characterized by abdominal pain, altered bowel habits
    consisting of diarrhea or constipation or both, and no detectable pathologic change; a
    variant form is characterized by painless diarrhea; it is a common disorder with a
    psychophysiologic basis; called also spastic or irritable colon.
*  Functional disorder of the colon that is generally psychosomatic.
    564.50 –  Functional diarrhea
    564.89 –  Other functional disorders of intestine
    564.90 –  Unspecified functional disorder of intestine
    579.90 –  Unspecified intestinal malabsorption
*  Malabsorption: decreased absorption of fat and other nutrients caused by liver, biliary,
    pancreatic or intestinal disease. 
    The 72-hour fecal fat determination is the best single test for mal- absorption.
*  Impaired absorption of nutrients in the gastrointestinal tract.
*  A group of symptoms such as gas, bloating, abdominal pain, and diarrhea resulting from
    the body's inability to properly absorb nutrients.
   787.30 –  Flatulence eructation and gas pain
   787.60 –  Incontinence of feces
*  Involuntary defecation.
*  Failure of control of the anal sphincters, with involuntary passage of feces and flatus; it may
    be either psychogenic or organic in origin.
*  Change in normal bowel habits characterized by involuntary passage of stool.
   787.61 –  Incomplete defecation
   787.62 –  Fecal smearing
   787.63 –  Fecal urgency
   787.70 –  Abnormal feces
   787.91 –  Diarrhea
*  Abnormal frequency and fluidity of feces.
*  Increased liquidity or decreased consistency of feces, such as running stool; fecal
    consistency is related to the ratio of water-holding capacity of insoluble solids to total
    water, rather than the amount of water present; diarrhea is not hyperdefecation or
    increased fecal weight.
*  Passage of loose, unformed stools
*  A condition of frequent and watery bowel movements.
   787.99 –  Other symptoms involving digestive system
 
It may be helpful to your physician for you to call your health insurance company,
prior to your medical appointment, to clarify which code(s) they accept.
Other codes may be available from your health insurance company for medical procedures (such as a colonoscopy, sigmoidoscopy, etc.) wherein a colonic prior
to the procedure is deemed necessary. There are more than a 1000 codes that
health insurance companies use worldwide for reimbursement.
 
 
The Federal Register on May 4, 2010, published the annual updates to the ICD-9-CM classification that became effective October 1, 2010. You can download the May 4 Federal Register at: http://edocket.access.gpo.gov/2010/pdf/2010-9163.pdf.
 
Disclaimer: Information on this website is not intended to prescribe, diagnose, or treat a health problem or a disease. It is not a substitute for medical care. If you have or suspect you may have a health problem, you should consult your primary care provider.

Physician Codes for Insurance Companies


The following is a list of codes that your physician M.D., D.O or Nurse Practitioner can write you a prescription to get possible reimbursement from your insurance company. Ask them to write the prescription for Colon Hydrotherapy "as needed" or "as necessary to correct bowel response" (increasing the chances that your claim may be accepted.) Please bring us your original prescription to keep on file. Please note that some of the codes are not directly related to 'colon' or 'digestive system'. But Colon Hydrotherapy plays an important role in helping to improve those conditions. Able Body Colonics does not guarantee insurance coverage and does not submit claims to your claims to yourinsurance company. We will provide you with an itemized statement to submit to your insurance if you request it. Payment is due in full to claims to your insurance company. We will provide you with an itemized statement to submit to your insurance if you

request it. Payment is due in full to Able Body Colonics at time of service.