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Old 01-12-2011, 10:38 AM
alexandasia alexandasia is offline
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Question Right hemicolectomy with end colostomy and sigmoid colectomy

A patient had a Right hemicolectomy with end colostomy and sigmoid colectomy
with primary anastomosis done and I am not quite sure how to code this. I have the Right Hemi as 44143 but what about the sigmoid colectomy? is there an additional code or would I be changing what I have so far? The DX is Perforation of right colon, perforation of sigmoid colon with pneumatosis.
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Old 01-13-2011, 12:44 PM
usha.dhokia usha.dhokia is offline
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hi i would bill this as follows
44143
44140-5159 for the sigmoid resection because there are two seperate rections done at two diferent locations of the colon so the 59 will allow it to pay seperatly.
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Old 01-13-2011, 02:26 PM
kathyshelton kathyshelton is offline
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If the splenic flexure was taken down, you can code 44139 (no modifier) add on code
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Old 01-14-2011, 01:57 PM
alexandasia alexandasia is offline
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Thanks guys! It seems so simple but when you get the slightest bit of doubt in your mind you just want to make sure, so I really got stuck LOL. I will reread the op report and see if the splenic flexure was taken down. Thanks again for all your help
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