AAPC - Back to school
Results 1 to 2 of 2

Thread: ? colon thru colostomy

  1. #1

    Default ? colon thru colostomy

    AAPC: Back to School
    Need help!! I have a procedure that was listed as a colon but the report says that the colonoscope was introduced through the sigmoid colostomy and advanced to the rectum for evaluation. This was the inteded extent. Then the colonoscope was introduced through the anus and advanced to the rectum. I wouldn't code colon thru colostomy (44388) since the cecum was not identified would I? and what would I list as my second code since it was just advanced to the rectum would it be listed as a proctoscopy? Thanks for any help you can provide.

  2. #2


    You could use 44388 for the stoma and 45330(Sigmoidoscopy, flexible, diagnotic) for the visualization of the rectum via anal approach.

    The proctoscopy(anoscopy) only visualizes the anal canal and the distal rectal muscosa.
    Last edited by TonyaMichelle; 01-17-2012 at 11:08 AM.

Similar Threads

  1. Resection of colon and colostomy revision
    By l1ttle_0ne in forum General Surgery
    Replies: 3
    Last Post: 08-30-2016, 01:35 PM
  2. Replies: 1
    Last Post: 12-16-2014, 10:39 AM
  3. Descending Colon Resection and Transverse Colostomy
    By sctaylor in forum General Surgery
    Replies: 1
    Last Post: 02-03-2013, 08:11 AM
  4. Multiple colon resections colostomy's (HELP)
    By Williealawishes in forum General Surgery
    Replies: 2
    Last Post: 01-06-2010, 06:56 AM
  5. Lap colon resection w/takedown of colostomy
    By GIBBERS in forum General Surgery
    Replies: 1
    Last Post: 12-29-2009, 11:52 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.