Urology Coding Alert

Question: Several days after a total cystectomy and continent urinary diversion, a patient underwent an abdominal exploration for an acute abdomen, acidosis, elevated white cell count, and ileus. The post-op diagnosis was small bowel perforation/leak. My urologist and a general surgeon performed an exploratory laparotomy,lysis of adhesions, small bowel resection, repair of ileal neobladder perforation, revision (redo) of ureteroileal anastomosis, pelvic drain, and wound irrigation. The general surgeon performed the small bowel resection. The urologist performed the neobladder and ureteral repair.For my urologist, can I use the unlisted procedure code for revisions of the ileal neobladder and ureteroileal anastomosis? Also, can I still code for exploratory laparotomy and the lysis of adhesions? Are these codes bundled into the bowel resection and anastomosis? Indiana Subscriber Answer: You should report 44602 (Suture of small intestine [enterorrhaphy] for perforated ulcer, diverticulum, wound, injury or rupture; single perforation) for the repair of the neobladder [...]