Results 1 to 2 of 2

Ileostomy Takedown

  1. #1
    Default Ileostomy Takedown
    Exam Training Packages
    I am stuck. Procedures performed: Diagnostic Lap, Lap lysis, conversion to exp. lap and ileostomy takedown.
    Patient had dense adhesions therefore the lap was abandoned. Midline incision was made thru the patients old scar.Opening along the way taking down multiple dense adhensions of omentum. Eventually completely freef and brougth the ileostomy thru the abd wall. Oatomy amputated. I briefly described the op. Patient is post status exp lap from small bowel resection.
    44620-44625 can be used? what about 44310 and 44227? Dx I used V55.2/560.81/v64.41. Please help

  2. #2
    Atlanta Perimeter
    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
    Erica Reno, CPC

Similar Threads

  1. ileostomy/colostomy takedown need help!
    By spunchCPC in forum General Surgery
    Replies: 1
    Last Post: 08-28-2015, 09:35 AM
  2. Lap Ileostomy Reversal/Takedown
    By BABS37 in forum Gastroenterology
    Replies: 0
    Last Post: 02-05-2014, 01:37 PM
  3. pre ileostomy takedown
    By lindacoder in forum Diagnosis Coding
    Replies: 1
    Last Post: 11-21-2011, 04:19 PM
  4. TakeDown of Loop Ileostomy
    By tabbsmith in forum General Surgery
    Replies: 4
    Last Post: 06-03-2011, 09:26 AM
  5. ileostomy takedown w/ formation of ileal J pouch
    By colemjm in forum General Surgery
    Replies: 0
    Last Post: 11-18-2008, 10:34 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.

Get OurFREE2017SalarySurvey.

We'll email you a link to our 2017 Healthcare Salary Survey when it is available so you can see your earning potential.