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Correct coding for Closure of Stomas

  1. #1
    Default Correct coding for Closure of Stomas
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    Does anyone know what documentation is required and what the correct diagnosis code would be for Closure of stoma? Overtime my surgeons will determine to close a stoma on a child who has no other current symptom. In the past we have used V44.1-Attention to Ileostomy or V44.3-Attention to Colostomy. They disagree with these diagnosis and believe there should be guidelines for correctly documenting these cases and more accurate diagnosis codes that can be used. If anyone can give me some insight on how they code these cases, I would appreciate it.

  2. #2
    Location
    Vancouver Washington
    Posts
    57
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    Hi-

    I code for Gastrointestinal and minimally invasive surgeons. We do a lot of stoma closures for patients who had..lets say a diverting loop ileostomy..etc. We use codes v55.2 (attention to ileostomy) and v55.3 (attention to colostomy) for asymptomatic patients when it is time to "take down" the stoma.

    Hope this helps

    Jaime-CPC
    Jaime Wicklund, CPC

  3. Default
    what code do you use for the "takedown"?

  4. Default
    Use the code 44620 - closure of enterostomy, large/small intestine.

  5. Default
    We also use the V55 codes for dx. For open procedures, 44620, 44625, or 44626, & for laparoscopic, if there's a resection and anastomosis involved, then 44227.
    Connie (CPC,CGSC)

  6. #6
    Default
    can someone explain when to use/the difference between

    v44.2 and v55.2
    v44.3 and v55.3

  7. #7
    Location
    Columbia, MO
    Posts
    12,570
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    The V44.x codes are status codes to indicate the patient has the artificial opening. The V55.x codes indicate the visit is for some form of management or attention to the opening. You never code them together.

    Debra A. Mitchell, MSPH, CPC-H

  8. #8
    Default
    Thanks!

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