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Wiki Coding excison stomal polyps

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cdehner

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Could someone please help me with this code. The physician performed: Excision of stomal polyps (longstanding ileostomy). The pathology report came back showing benign polyps.
I was looking at the excison of benign lesion codes but I didnt know if there might be a more accurate code for this.
Thank you for any help on this.
 
The op note states: Local anesthesia was infiltrated into the bowel wall for primarily hemostasis,.There were 6-7 polyps apparent and excision sharply was carried down into the submucosal tissues around the base of each polyp and each defect was closed with 3-0 vicryl suture.
 
I don't think there's a specific code for that. I would disagree with 44111. That describes enterotomies which implies a laparotomy which he didn't do.

I think 44312 or 44314 is more appropriate (ileostomy revision). Technically he's revising the ileostomy, at least the mucosa of the ileostomy.
 
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