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resection w/colostomy and ileostomy

JenReyn99

Guru
Messages
138
Location
Redding, CA
Best answers
0
Need help!

Doc says they want to use 44206, don't think I agree. It was done laparoscopically. So here's part of the note:

Sigmoid was taken down from the peritoneal reflection in the pelvis to the left colon and removed between GIA staple lines. The distal colon had normal mucosa actually at the rectum for about 4 cm, and then promplty a stricture was noted moving proximally when examining the colon off the operative field. .....a left colostomy was then created (descending colostomy) in a standard manner and matured primarily. The diverting loop ileostomy was created in the right mid abdomen at the trocar site.

I'm having a tough time deciding on this one, but I don't see the 44206 in this. I dunno. Help! :confused:
 

surgonc87

Guru
Messages
226
Location
Atlanta
Best answers
0
44206 would be correct, it is a heartmann type procedure. Also report 44187 for the diverting loop ileostomy. There are no CCI, bundling issues with that.

Ms
 
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