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Thread: Repair enterotomy colon code??

  1. #1

    Default Repair enterotomy colon code??

    AAPC: Back to School
    Dr. was performing Esophagectomy and poked whole thru bowel.
    Looking for code repair enterotomy bowel.
    A Finder needle was placed through the anterior abdominal
    wall and into the bowel. Air was used to insufflate through the finder
    needle to ensure proper placement into the lumen. A wire was passed. The
    introducer was then passed, and then it was noted that it had gone
    through the back wall of the bowel where the bowel joined the mesentery.
    It was pulled back into the lumen of the bowel, and the enterotomy was
    closed with 3 interrupted Vicryl sutures
    using full thickness of the
    bowel wall. The wire was repassed followed by introduction of the J-tube
    into the bowel. Insufflation through the J-tube reveals it was in the
    bowel lumen. The bowel was then stammed to the anterior abdominal wall
    with 4 sutures. The J-tube was secured to the exterior anterior abdominal
    wall with nylon sutures.

  2. #2


    When this happens I use 44602 Sm. Intestine with a primary Dx of 998.2.

    Michael D. Reyland, CPC, CIRCC
    Surgical Specialists of Georgia

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default We would not bill repair

    We would not bill repair of a wound resulting for our own mistake.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Join Date
    Apr 2007
    Vancouver Washington


    I would not bill the repair if we made the mistake

    Jaime Wicklund, CPC

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