Assuming the sigmoid was anastomosed to the rectum 44145-22(for 2 hr lysing), if abscess is separate and distinct (not all associated with the fistula) 49020-59, assuming dr didn't enter through hernia 49560-59, assuming dr repaired the vagina as the fistula had to of created a defect 57200, Bio mesh could be considered a prothesis so 49568.
Biopsy included as incidental to
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