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Recurrent rectal cancer

Naomi Posted Tue 16th of June, 2020 16:02:16 PM
we need help coding the following 1. Proctosigmoidoscopy 2. Laparoscopic Lysis of adhesions 3. laparoscopic low anterior resection 4. Left urterolysis 5. splenic flexure takedown 6. Placement of cystoscopy and placement of ureteral stent. this procedure was a very difficult case that took 3 hours longer than usual because of her recurrent caner the lymph node dissection , the ureterolysis the dissection and radiated scar tissue added to the complexity of the this procedure/case. We used coded 45331 (22) 44205-51 4213-51 51040-51 52332-51? Please help
SuperCoder Answered Wed 17th of June, 2020 12:23:01 PM


The third code you provided is incomplete. Can you please give us the complete code. 



Naomi Posted Tue 21st of July, 2020 14:26:09 PM
44205-22, 45331-51, 52332-51, 51040-51, 44213
SuperCoder Answered Wed 22nd of July, 2020 11:18:17 AM
Hello Thanks for your followup nbsp As per the limited documentation available please see the below findings The first listed procedure is proctosigmoidoscopy but the code billed is Sigmoidoscopy flexible with biopsy single or multiple As per the documentation code for proctosigmoidoscopy from the code range - should be billed...

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