AAPC - Back to school
Results 1 to 2 of 2

Thread: colonoscopy before colostomy takedown

  1. #1
    Join Date
    Apr 2007
    Northeast Kansas AAPC

    Default colonoscopy before colostomy takedown

    AAPC: Back to School
    I don't do these often enough to feel comfortable.

    Medicare patient - report reads the colonoscope was inserted into the colostomy bag. This was advanced to the cecum without difficulty. The ileocecal valve was identified as was the ascending colon. The hepatic flexure was also identified. We were able to visualize this completely. There was no evidene of polyps in any of this part of the bowel. Attempts to cannulate the ileocecal valve were not successful. The cecum was normal as was the ascending colon. The hepatic flexure was normal. The transverse colon was normal as was the splening flexure and descending colon. The patient tolerated this part of the procedure well. The scope was then inserted into the rectum and the rectum was scoped to a distance of about 25 cm. This appeared to be normal colon with a few diverticular outpouchings of the distal segment. There was some diversion proctitis and a little bit of inflamed mucosa. The scope was retroflexed and no hemorrhoids were noted.

    I need a CPT code and can I use the V55.3 (attention to colostomy) ICD-9 code. Thanks for any help.

  2. #2
    Join Date
    Apr 2007
    virginia beach, va


    Hi Linda,

    Take a look at 44388 and 45330. That is where I would start.

    Hope this was helpful.

    Gena Alexander-Fortune, CPC, CGSC

Similar Threads

  1. ileostomy/colostomy takedown need help!
    By spunchCPC in forum General Surgery
    Replies: 1
    Last Post: 08-28-2015, 08:35 AM
  2. Replies: 1
    Last Post: 03-30-2015, 08:31 AM
  3. colonoscopy prior to colostomy takedown
    By lindacoder in forum Gastroenterology
    Replies: 2
    Last Post: 03-05-2014, 03:25 PM
  4. Colostomy takedown question
    By bridgettemartin in forum General Surgery
    Replies: 2
    Last Post: 01-28-2014, 05:27 AM
  5. Replies: 3
    Last Post: 12-06-2012, 08:52 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.