AHA Coding Clinic® for ICD-9 - 2013 Issue 2; Ask the Editor

Laparoscopic-Assisted Total Proctocolectomy

A 26-year-old man with chronic ulcerative colitis refractory to medical treatment is admitted for surgical treatment of his condition. The entire colon and rectum is excised and an ileal pouch is created. The surgeon describes this procedure as laparoscopic total proctocolectomy. What are the appropriate procedure code assignments for laparoscopic total proctocolectomy with J-pouch construction, ileal pouch anal anastomosis and diverting loop ileostomy? The Index to Procedures does not provide an index entry for proctocolectomy or coloproctectomy, although both terms are listed in the Tabular List under code category 45.8, Total intra-abdominal colectomy. ...

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