Results 1 to 4 of 4

small bowel resection

  1. #1
    Default small bowel resection
    Exam Training Packages
    This is the patients 3rd sx over 1 month period. Midline incision was reopened in its entirety. Patient was found to have significant amount of succus material from sm bowel. There was a small dehiscence of the anastomosis, but pt has such friable sm bowel, an anastomosis could not be done safely in that area. I decided at that time to bring an end ileostomy in that area, approx 200cm frm ligament of Treitz. this was brought out in the uppr lft quad. Upon completion of evaluating of sm bowel, pt had an enterotomy approx 15 cm from the sm bowel to colon anastomosis in th rt colon from prev sx 20 yrs ago. Could not repair due to quality of sm bowel, I decided to bring out that enterotomy and create a mucus fistual in rt lower quad. Ileostomies were matured.

    I am really struggling with these types of sx. If you could please help in any way, I would greatly appreciate it. I know I will need to use mod 78 but as for cpt code, I really just don't know.

  2. #2
    Vancouver Washington
    I would take a look at 44310. The open lap is going to bundle into the main procedure, and since the enterroraphy could not be done, I would lean more towards billing for the two ileostomies (using a -59 on one) Just my opinion
    Jaime Wicklund, CPC

  3. #3
    so would I code 44120-78 and 44310-59-78

  4. #4
    Vancouver Washington
    based on what was posted-I don't see that a small bowel resection was done. If you want to post the whole operative report (scrubbed) I would be happy to give you my opinion.
    Jaime Wicklund, CPC

Similar Threads

  1. Replies: 0
    Last Post: 07-26-2012, 02:32 PM
  2. Replies: 0
    Last Post: 07-25-2012, 01:51 PM
  3. Replies: 1
    Last Post: 12-28-2011, 02:06 PM
  4. Small bowel resection
    By in forum Anesthesia
    Replies: 3
    Last Post: 03-23-2011, 08:41 AM
  5. Small Bowel Resection
    By NJcoder in forum General Surgery
    Replies: 0
    Last Post: 11-07-2008, 04:54 PM

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.