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Coding excison stomal polyps

  1. Default Coding excison stomal polyps
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    Could someone please help me with this code. The physician performed: Excision of stomal polyps (longstanding ileostomy). The pathology report came back showing benign polyps.
    I was looking at the excison of benign lesion codes but I didnt know if there might be a more accurate code for this.
    Thank you for any help on this.

  2. #2
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    Can you post the op note? Otherwise its a guessing game on what methods/approach were used to even consider a CPT code.

  3. Default
    The op note states: Local anesthesia was infiltrated into the bowel wall for primarily hemostasis,.There were 6-7 polyps apparent and excision sharply was carried down into the submucosal tissues around the base of each polyp and each defect was closed with 3-0 vicryl suture.

  4. #4
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    open approach i will assume 44111

  5. Default
    Thank you very much for your help. I really appreciate it. Have a great day!

  6. #6
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    I don't think there's a specific code for that. I would disagree with 44111. That describes enterotomies which implies a laparotomy which he didn't do.

    I think 44312 or 44314 is more appropriate (ileostomy revision). Technically he's revising the ileostomy, at least the mucosa of the ileostomy.

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