Wiki Colostomy - I need some help!!

GSCoder07

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Bossier City, LA
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I need some help!!
Below is the op report:

OPERATION: Debriding colostomy.

DESCRIPTION OF OPERATION: The patient was prepped and draped in the usual sterile
fashion. There was an old colostomy site on the left side and it appeared on
computed tomography (CT) scan that the colon was very close in this area and we might
be able to approach this with a limited incision and do this debriding colostomy at
the site. Incision was made. We went down, identified the area of the hernia.

Unfortunately there were a number of adhesions and a number of adhesions from the
small bowel to the colon were in the way and had to be taken down in a meticulous
fashion. Once we were able to do that we were able to bring the colon up. We used a
butterfly bridge and the butterfly bridge will be left in place for 7-10 days. The
colostomy was matured using interrupted 3-0 Vicryl sutures.

An appliance was placed. The patient tolerated the procedure well and is in stable
condition at this time. There were no complications.


I have no idea how to go about coding this.
Any advice would be greatly appreciated!!
Thanks in advance for your help!
 
Maybe use a 44346 Revision of colostomy; simple (release of superficial scar) (separate procedure) with repair of paracolostomy hernia (separate procedure)
 
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