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Sigmoidectomy and Splenic Mobilization with Abdominal Wall Resection

Camille Posted Sat 12th of October, 2019 18:55:18 PM
A lap Sigmoidectomy and Splenic Mobilization procedure is started. A laparoscopic splenic take-down was performed and then surgeon encounters colon cancer invading into the left abdominal side wall. At this point, the surgery was converted to an open procedure and the Sigmoidectomy was completed. The op note describes “the abdominal side wall was resected en bloc with the cancer.” And “I used a Bovie to resect abdominal wall that was adhered to the sigmoid colon.” I am coding the Sigmoidectomy and the Splenic Mobilization 44145, +44139 C18.7, Z53.31. May I also code for the Abdominal Wall Resection? If not, would a modifier -22 be justified? Thank you very much!
SuperCoder Answered Mon 14th of October, 2019 06:02:29 AM
Hi Camille In CPT code partial colectomy is the removal of a part of the colon that has been affected by the disease In extreme conditions the physician may decide to remove the complete colon Once the colon or a part of it is removed the remaining ends of the...

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