Based on the brief description sounds like 44620-44625, just going to depend on if/where the anastamosis is. You will not be able to bill LAP codes as this was converted to open. so no to 44227. as far as 44310 did the Dr. perform another Ileostomy?? Sounds like if all that was essentially done is take down of Ileostomy you are only going to get one of the 44620-44625. I agree w/the dx info. Also if the surgeon dictated well enough you may add a 22 to the LOA, if you can support it. (we stick with LOA over an hour gets a 22). Hope thats helpful
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