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Screening colonoscopy with perforation and then repair by second physician - ???

Mary Posted Thu 16th of April, 2015 09:41:53 AM

Medicare patient came in for screening and during the procedure while advancing from 100 to120 cm he felt give in resistance. On withdrawing the scope, perforation was encountered at 15 to 20 cm. Scope was withdrawn and patient was taken to treatment room where first physician consulted with second who examined patient and had her moved immediately to OR. Low midline incision was performed and abdominal cavity was explored. Perforation of 3 cm was found in the rectosigmoid junction that was iatrogenically produced. Perforation was closed in one layer and was buttressed with several pieces of fat surrounding sigmoid colon. Abdominal cavity was examined again to see if there was any other injury. There was not and wound was closed in three layers.

My question is would I used 45378-74 instead of the G0105 and for the second use 44602? Any help would be appreciated!!!!!

SuperCoder Answered Fri 17th of April, 2015 03:25:15 AM

AAE does not provide coding for operative reports and chart notes.
SuperCoder offers SuperCoding on Demand (SOD) ( for coding of an operative report or chart note and you can contact (866)228-9252 or e-mail for more information.

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