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Closure of ileostomy fistula

  1. #1
    Question Closure of ileostomy fistula
    Medical Coding Books
    Help please!

    Procedure: Closure of ileostomy fistula

    Indication for procedure:
    Pt diagnosed with acute ischemic colitis requiring exploratory laparotomy, requiring a small-bowel resection with ileostomy. However she did develop a fistula at the ileostomy site which was leaking at the base , hence provider recommends repair of the same?


    After iv sedation was administered, the left lower quadrant ileostomy site was prepped and draped in the usual sterile fashion. The fistula was located at the 9o"clock position. I want ahead and used a #3-0 Vicryl stitch in the form of figure-of-eight to close this fistula in 2 separate bites, and once this was closed, and the ileostomy stoma bag was applied, the procedure was completed.

    Preop and Post of dx: Ileostomy fistula.

    Thank you
    Betsy

  2. #2
    Default
    Look at 44640 and possibly verify with Dr that it was cutaneous.
    Thanks,
    Chris Gilmer CPC, CEMC

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