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Thread: Redo of ileocolic anastomosis, with Explorotory Lap and drainage of peritoneal absces

  1. #1
    Join Date
    Apr 2007
    Canton, NY

    Question Redo of ileocolic anastomosis, with Explorotory Lap and drainage of peritoneal absces

    AAPC: Back to School
    After patient had a colectomy, she developed a peritoneal abscess. Dr did an exploratory laparotomy with drainage of peritoneal abscess (which I think would be 49020), but he had to redo the anastomosis between the distal ileum and the distal transverse colon. Is there a code for the redo?

  2. #2


    It is my understanding that you would use the same code you used previously for the original resection and anastomosis. So if you used 44140 previously, you would use 44140 for the revision. I believe the 49020 would then not be billable per CCI edits.


  3. #3


    If the original ileocolic anastomosis was resected, then it would be 44160 again. If no resect on the 2nd op, then maybe a 44130.

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