AHA Coding Clinic® for ICD-9 - 2005 Issue 2; Ask the Editor

Continent Ileovesicostomy

A patient with hypotonic, neurogenic bladder and urethral stricture was admitted to undergo a closed continent ileovesicostomy along with biopsies of the small intestine and bladder. During this procedure, a segment of the ileum was isolated, side-to-side anastomosis of the intestine was carried out and ureteral catheterization was performed. The ileum was then attached to the bladder using an end-to-end anastomosis. The ileal end was then anchored to the skin to mature the stoma. The ureters were not involved in the procedure. What are the procedure codes for this admission? ...

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