Wiki gyn ca surgery coding question

[hotmailmary@hotmail.com]

any ideas on how to code this:

PROCEDURES:
1. Exploratory laparotomy.
2. Resection of mass of the rectovaginal septum with radical
right pelvic side wall dissection, and block hysterectomy, BSO,
resection posterior lateral vagina, low anterior resection with
stapled colorectostomy, mobilization of splenic flexure, loop
ileostomy, right ureterolysis, placement of right ureteral stent,
bilateral pelvic lymph node dissection, periaortic lymph node
dissection, appendicectomy.


thank you