AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

Ileostomy Takedown and Parastomal Hernia Repair

A 33-year-old male patient with loop ileostomy, status post proctocolectomy and ileoanal J-pouch anastomosis for ulcerative colitis, presents for closure of the loop ileostomy. A parastomal hernia was also noted during the preoperative exam. At surgery, a parastomal incision was made. The ileostomy was dissected free, the parastomal hernia sac was dissected away from the ileum, and the ileostomy was closed. A side-to-side functional end-to-end anastomosis was created. The parastomal hernia sac was then dissected free. What are the correct ICD-10-PCS codes for the ileostomy takedown, and repair of the parastomal hernia? ...

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