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Dilation of ostomy site

  1. Exclamation Dilation of ostomy site
    Medical Coding Books
    Hi there, here is the short version of my op report. I have no idea what code to use.

    Patient came in today because of abdominal distress & cramps. Left-sided ostomy has no signs of irritation, inflammation or infection. Patient says they have not passed a stool in 3 days. Colostomy opening was almost closed and was gradually dilated with a Maloney. After dilating to 40mm, patient began to pass soft stool, ostomy bag was replaced.

    Please help

  2. #2
    St. Louis, Missouri
    I would use an E&M code.

    Melissa Blow, CPC

  3. Default
    Thank you

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