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Thread: Enterotomy Question

  1. #1
    Join Date
    Apr 2007
    Redding, CA

    Default Enterotomy Question

    AAPC: Back to School
    Any help on this is great! Thank you in advance

    The doc says this:

    I had a choice of either taking a piece of colon to leave the bowel intact or taking a piece of small bowel and leaving the colong intact, and I chose the small intestine to sacrifice. For this reason, scissors were used to cut the bowel free creating an enterotomy which was closed with a GIA stapler with side-to-side anastomosis closed with a T-A. The entire staple line was oversewn with silk and other adhesions were nowhere as dense and thick as the chronic scar changes in the pelvis adjacent to the colon. These other fine adhesions were easily lysed freeing the entire small bowel. The site of the obstruction was quite obvious as the bowel was very decompressed distal to the sigmoid colon and small intestine contact area. Retention sutures of #2 nylon were placed and the fascia was closed with Monocryl.

    I'm really not sure which direction to go on this one. I feel like it's a little vague, but maybe one of you coding whiz's out there can help me! Thank you!

  2. #2

    Default Enterotomy

    What about code 44615 as the note states creation of enterotomy and it was for obstruction in small intestine

  3. #3
    Join Date
    Apr 2007
    Redding, CA

    Default Thanks!

    Thanks, I think that is the correct code, just hadn't done anything like that before. Very helpful.

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