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Wiki cpt help please!

tategc

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Portland, ME
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Patient had a lap-assisted completion proctectomy with ileoanal J-pouch; ileostomy takedown (done at the time of a previous subtotal colectomy); and then a loop ileostomy was created "which was brought up through our previous ileostomy site". I like 44211, but wonder where they utilitized the same ileostomy site, can it be billed? And if so, can the ileostomy takedown be billed as well?
 
45113 is the closest open code. Any other suggestions besides coding this with a 22 modifier for the laparoscopic approach? Other option is the 999 code for unlisted procedure.
 
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