sharonvbs
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- 7
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- Chesapeake, VA
I have a case where there was a revision of a colostomy (2 days post op,) however, the revision was not a relocation.
The laparotomy incision was reopened.
Colostomy was taken down.
4 cm of necrotic segment was resected out.
The ostomy site was resected with electrocautery.
Mucosa inverted and colostomy created.
I know that the Coder's Desk Reference is subjective but it interprets a relocation of the ostomy site and does not mention resection of a portion of the colon. The colon end was resected but without the "typical" anastamosis.
Which direction would you feel most appropriate?
Thank you in advance.
The laparotomy incision was reopened.
Colostomy was taken down.
4 cm of necrotic segment was resected out.
The ostomy site was resected with electrocautery.
Mucosa inverted and colostomy created.
I know that the Coder's Desk Reference is subjective but it interprets a relocation of the ostomy site and does not mention resection of a portion of the colon. The colon end was resected but without the "typical" anastamosis.
Which direction would you feel most appropriate?
Thank you in advance.