Wiki Low anterior resection, end closure & colostomy. (no anastamosis)

Karen A.

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I have an open procedure to code. A total mesorectal excision (low anterior resection) was done for rectal cancer, this included part of the sigmoid colon. The colon was brought out thru the stoma hole & the colostomy appliance applied. I need help with coding this procedure. The closest code I find includes anastomosis. This procedure did not include anastomosis. Any help will be greatly appreciated, Thank you.
 
can't tell for sure without the note but from what you put sounds like 44146, colectomy, partial; with coloproctostomy(low pelvic anastomosis, with colostomy.
 
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