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Thread: diverting loop ileostomy

  1. #1
    Join Date
    Apr 2007

    Red face diverting loop ileostomy

    AAPC: Back to School

    I need help with a procedure.

    Surgeon performed a exploratory lap, lysis of adhesions and diverting loop ileostomy. During the procedure the patient became hypotensive so the colectomy was cancelled and a diverting loop ileosomy was performed to releave the partial bowel obstruction. How would you code that?

    Last edited by kbennett; 03-15-2011 at 06:32 AM. Reason: added more information

  2. #2
    Join Date
    Apr 2007


    lysis of adhesion is bundled, add a modifier 22 to primary CPT if lysis of adhesion were extensive and timing of doing so was more than 1 hour. If the colectomy was started with mobilizing of hepatic/splenic flexure and ready to do so, then aborted...code the colectomy with mod 53

    This may be your best coding scenario


  3. #3


    I believe surgon87 meant 44310-22 instead of 44130-22.

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