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Thread: Right hemicolectomy with end colostomy and sigmoid colectomy

  1. #1

    Question Right hemicolectomy with end colostomy and sigmoid colectomy

    A patient had a Right hemicolectomy with end colostomy and sigmoid colectomy
    with primary anastomosis done and I am not quite sure how to code this. I have the Right Hemi as 44143 but what about the sigmoid colectomy? is there an additional code or would I be changing what I have so far? The DX is Perforation of right colon, perforation of sigmoid colon with pneumatosis.

  2. #2

    Default owner

    hi i would bill this as follows
    44143
    44140-5159 for the sigmoid resection because there are two seperate rections done at two diferent locations of the colon so the 59 will allow it to pay seperatly.

  3. #3

    Default

    If the splenic flexure was taken down, you can code 44139 (no modifier) add on code

  4. #4

    Default

    Thanks guys! It seems so simple but when you get the slightest bit of doubt in your mind you just want to make sure, so I really got stuck LOL. I will reread the op report and see if the splenic flexure was taken down. Thanks again for all your help

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