Results 1 to 2 of 2

Sm Bowel Resect./Enteroenterostomy Closure

  1. #1
    Default Sm Bowel Resect./Enteroenterostomy Closure
    Medical Coding Books
    Please help me with the following: Doc did a small bowel resection, enteroenterostomy closure of enterotomy & lysis of adhesions. Just wondering if the only thing that I can code for is the Sm.Bowel Resect 44120 because the
    enteroenterostomy edits out with the 44130 and looking for dx as well sm.bowel obstruction secondary to
    metastic ca of the colon. Thanks in advance for your help
    Deb, CPC

  2. #2
    Columbia, MO
    If the obstruction is a manifestation of the colon ca then you should follow the guideline of underlying condition is listed first, so the metastatic ca would be first then the obstruction then the primary ca code. Always list the primary ca code when listing a secondary, it can be active, hx of or unknown but must be listed.
    The procedure code will be the resection code unless the closure was performed via a sepaate incision.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Exp. lap with sm. bowel resect and cholecystectomy
    By in forum Gastroenterology
    Replies: 5
    Last Post: 11-02-2012, 07:12 AM
  2. Exp. lap with lysis of adhesions; Small Bowel resect;Cholecystectomy
    By in forum Gastroenterology
    Replies: 0
    Last Post: 10-26-2012, 09:11 AM
  3. Help with Coding:Near Total Sm.Bowel Resect
    By Hopp in forum General Surgery
    Replies: 0
    Last Post: 11-03-2009, 01:00 PM
  4. Help with coding Sm.Bowel Resect/Lysis of ad
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 08-03-2009, 03:25 PM
  5. Help with Coding Right Hemi & Sm.Bowel Resect
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 12-08-2008, 10:29 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.