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Health Insurance Information

For Colon Hydrotherapy

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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.

New Life Health & Wellness Center does not guarantee insurance coverage and does not submit 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 New Life Health & Wellness Center at time of service.

CPT Codes:

- CPT 74283Therapeutic Enema
- CPT 97139cUnlisted Therapeutic Procedure (Removal of Impaction)
- CPT 45915Removal of Fecal Impaction of Foreign Body
- CPT 45999Unlisted 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.

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.


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