AAPC - Back to school
Results 1 to 2 of 2

Thread: resection w/colostomy and ileostomy

  1. #1
    Join Date
    Apr 2007
    Redding, CA

    Default resection w/colostomy and ileostomy

    AAPC: Back to School
    Need help!

    Doc says they want to use 44206, don't think I agree. It was done laparoscopically. So here's part of the note:

    Sigmoid was taken down from the peritoneal reflection in the pelvis to the left colon and removed between GIA staple lines. The distal colon had normal mucosa actually at the rectum for about 4 cm, and then promplty a stricture was noted moving proximally when examining the colon off the operative field. .....a left colostomy was then created (descending colostomy) in a standard manner and matured primarily. The diverting loop ileostomy was created in the right mid abdomen at the trocar site.

    I'm having a tough time deciding on this one, but I don't see the 44206 in this. I dunno. Help!

  2. #2
    Join Date
    Apr 2007


    44206 would be correct, it is a heartmann type procedure. Also report 44187 for the diverting loop ileostomy. There are no CCI, bundling issues with that.


Similar Threads

  1. ileostomy/colostomy takedown need help!
    By spunchCPC in forum General Surgery
    Replies: 1
    Last Post: 08-28-2015, 08:35 AM
  2. Replies: 0
    Last Post: 09-10-2012, 01:22 PM
  3. Colostomy vs ileostomy
    By Branham7 in forum General Surgery
    Replies: 2
    Last Post: 02-25-2011, 02:42 PM
  4. Colostomy vs ileostomy
    By Branham7 in forum General Surgery
    Replies: 0
    Last Post: 10-19-2010, 09:10 AM
  5. colostomy reversal w/loop ileostomy
    By CRC CPC in forum General Surgery
    Replies: 0
    Last Post: 08-12-2010, 08:01 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.