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Colostomy vs ileostomy

  1. Default Colostomy vs ileostomy
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    Can I use 44146 if a coloproctostomy is done with an ileostomy?

  2. #2
    Kansas City, MO
    I am wondering the same thing....any takers??

  3. #3
    It is up for interpretation and in my opinion its a no. You really have to think about why, and how with clinical practice on this one. What are they doing to the small intestine, are they dividing the distal end near/or terminal Ilium. If they are doing so and dividing the sigmoid-recto junction, wouldn’t that be a total colectomy(44155).
    Last edited by surgonc87; 02-25-2011 at 02:45 PM.

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