JenReyn99
Guru
I have a report where the doc did multiple resections of multiple sections of the colon. He didn't perform an anastomosis until the last one was done though, so I'm thinking I can't code both. Any help is appreciated.
Here's part of the report: The cecum and ascending colon were volvulized and resected using ligature and silk ties. The entire colon was dilated. There was no decompression distal to the volvulus. I followed the colon to a site of obstruction which was a sigmoid mass which appeared to be a cancer. The mass was excised between clamps and an end-colostomy of the transvers and descending colon was created in the left abdomen. An ileostomy was created in the right abdomen as the ascending colon had been resected and after noting no bleeding colostomy bags were placed following primary maturation of both ostomies.
I'm thinking this should be: 44141, and 44310, but I'm very shaky on this one. Thanks for the help.
Here's part of the report: The cecum and ascending colon were volvulized and resected using ligature and silk ties. The entire colon was dilated. There was no decompression distal to the volvulus. I followed the colon to a site of obstruction which was a sigmoid mass which appeared to be a cancer. The mass was excised between clamps and an end-colostomy of the transvers and descending colon was created in the left abdomen. An ileostomy was created in the right abdomen as the ascending colon had been resected and after noting no bleeding colostomy bags were placed following primary maturation of both ostomies.
I'm thinking this should be: 44141, and 44310, but I'm very shaky on this one. Thanks for the help.