Wiki DX code Question: Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy (44146) at the same time as 58953

[tloeb]

Procedure performed: Exploratory laparotomy with total abdominal hysterectomy, bilateral salpingo-oophorectomy, low anterior resection with side to end anastomosis, omentectomy, right pelvic node sampling, diverting loop ileostomy

Diagnosis is Bilateral Ovarian Cancer. No pathology found on colon specimen.

Debulking & the Low anterior resection was performed because of the Ovarian Cancer, is it correct to use C56.3 as the primary for 44146? No other pathology found on colon specimen. Another coder for a GI specialist that stepped in as the assist for the colon resection feels it should be either K66.0 or K63.89.

 

[Cmama12]

Yes, it is entirely fine to use the cancer dx as primary.

 

[nielynco]

Procedure performed: Exploratory laparotomy with total abdominal hysterectomy, bilateral salpingo-oophorectomy, low anterior resection with side to end anastomosis, omentectomy, right pelvic node sampling, diverting loop ileostomy

Diagnosis is Bilateral Ovarian Cancer. No pathology found on colon specimen.

Debulking & the Low anterior resection was performed because of the Ovarian Cancer, is it correct to use C56.3 as the primary for 44146? No other pathology found on colon specimen. Another coder for a GI specialist that stepped in as the assist for the colon resection feels it should be either K66.0 or K63.89.

While on the surface it might seem that ovarian cancer can be used for this colon resection, I am wondering why the GI specialist thought it was done due to peritoneal adhesions or some other intestinal disorder. You may get a disconnect between the Dx and the procedure performed. Please read the op not carefully to see if the gyn surgeon thought there might be cancer which called for this procedure to be performed.