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Primary Repair of Colotomy

Oscar Posted Sat 09th of May, 2015 11:03:26 AM

Please answer the following coding question:
1)Diagnostic Laparoscopy.
2)Primary repair of colotomy.
3)Drainage of abscess.

There was a perforation in the Transverse Colon and just past the hepatic flexure in the transverse colon. This was repaired primarily with 3 sutures of 2-0 Vicryl. Omental fat was then placed on top and secured along with a 2-0 vicryl suture as a patch. A 7 french JP drain was left in the right upper quadrant and 1 down in the pelvis brought out through the trocar sites and secured to the skin using 2-0 silk. The 12 mm fascial incisions were approximated using 0 vicryl. Skin approximated with 4-0 monocryl in a subcuticular fashion.

SuperCoder Answered Mon 11th of May, 2015 03:20:24 AM

Your question is not clear. Do you want code for primary repair of colotomy or for drainage of abscess or for repair of perforation of colon. Your operative report is also incomplete. For your information primary repair of colotomy and drainage of intestinal abscess will get bundled in the repair of the perforation. For laparoscopic repair of perforated colon, you can bill unlisted CPT code 44238.

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