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Help with coding

  1. Question Help with coding
    Medical Coding Books
    Patient had a cecal/appendiceal tumor with ingrowth in the abdominal wall. Surgeon did a right colectomy with abdominal wall resection. He removed the posterior rectus sheath and some of the rectus musculature. Can I use an additional code for the abdominal wall resection or would that be considered part of the colectomy (44160). I would appreciate any opinions on this.

    Thank you. Vicky

  2. #2
    You could bill for 44160 and 22900 (or something similar) if that is appropriate based on the op report. You mentioned that the tumor did extend into the abdominal wall.

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