Right hemicolectomy with end colostomy and sigmoid colectomy

alexandasia

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A patient had a Right hemicolectomy with end colostomy and sigmoid colectomy
with primary anastomosis done and I am not quite sure how to code this. I have the Right Hemi as 44143 but what about the sigmoid colectomy? is there an additional code or would I be changing what I have so far? The DX is Perforation of right colon, perforation of sigmoid colon with pneumatosis.
 

udhokia

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hi i would bill this as follows
44143
44140-5159 for the sigmoid resection because there are two seperate rections done at two diferent locations of the colon so the 59 will allow it to pay seperatly.
 

alexandasia

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Thanks guys! It seems so simple but when you get the slightest bit of doubt in your mind you just want to make sure, so I really got stuck LOL. I will reread the op report and see if the splenic flexure was taken down. Thanks again for all your help :)
 
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