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Wiki Gi/gyn cancer surgery cpt coding?

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any ideas on how to code this:

POSTOPERATIVE DIAGNOSIS:
Locally advanced rectal cancer with full-thickness invasion of
posterior vagina, final pathology pending.

PROCEDURE:
Posterior pelvic exenteration with perineal phase, omental
J-flap, vertical rectus abdominis myocutaneous flap
reconstruction by Plastic Surgery.
 
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