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General surgery coding

Dasika Posted Thu 16th of June, 2016 11:40:05 AM
I need help with the following: OPERATIVE PROCEDURE: 1. Exploratory laparotomy. 2. Low anterior resection with proctectomy. 3. Subtotal colectomy with descending colon to anal anastomosis and diverting loop ileostomy. 4. Left ureteral neocystostomy The Dx is Rectal and Descending colon cancer with ureteral injury
SuperCoder Answered Fri 17th of June, 2016 06:43:32 AM
Hi, Although your description lacks significant detail to ensure correct coding, it appears that the best choice for the procedure is as follows. we would require operative notes for accurate answer: 44155: Colectomy, total, abdominal, with proctectomy; with ileostomy 44626: Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) 50780: Ureteroneocystostomy; anastomosis of single ureter to bladder or if ileoanal anastomosis was performed 44157 : Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed Thanks

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