AAPC - Back to school
Results 1 to 2 of 2

Thread: Help with surgery coding

  1. #1

    Question Help with surgery coding

    AAPC: Back to School
    Any feedback would be great!
    I came up with 44145.22 (Fistula was connected to sigmoid colon removed.) 49020 38500

    Low anterior resection of the rectum with resection of sigmoid colon along with the colovaginal fistula, drainage of associated pelvic abscess, 2 1/2 hour lysis of adhesions, biopsy of retroperitoneal lymph node, repair of peristomal hernia with biological mesh.

    Thank you so much

  2. #2


    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

Similar Threads

  1. Help coding this surgery.
    By jdibble in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-09-2015, 06:44 AM
  2. please help with coding this surgery!!
    By juliedale in forum Cardiology
    Replies: 6
    Last Post: 06-04-2014, 11:45 AM
  3. Help Coding Surgery
    By drhoads in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 11-28-2012, 08:50 AM
  4. Need help with coding surgery!
    By vickymc in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 10-09-2012, 08:41 AM
  5. Surgery Coding Help
    By ajhunsicker in forum Orthopaedics
    Replies: 2
    Last Post: 10-25-2009, 08:15 PM

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.