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Need help with CPT codes for colectomy

  1. Default Need help with CPT codes for colectomy
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    I'm wondering if someone might be able to help me with coding this op report.

    Postoperative DX--Obstructing bleeding cancer of the splenic flexure of the colon

    1. Operation--Aborted laparoscopic colectomy. This was at least 2.5 hours of the case and included a distal sescending colon and sigmoidectomy. Second laparoscopic resection included additional rectum and then the patient was opened.
    2.Open formal left hemicolectomy with a transrectal anastomosis
    3.Mobilization of the splenic flexure.

    If someone would be willing to help me, I could fax a HIPAA compliant op report. Any help would be so much appreciated.


  2. #2
    Red face
    Well, based on the info provided, I would use 44145 unless there was a colostomy then use 44146. also use 44139. I would also bill with a modifer 22 and request additional $$ for the extensive time required doing the failed laprascopic approach. Again, based on minimal info..that is how I would do it

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