CPT Knowledgebase - Apr 1, 2020
A midline laparotomy incision was made, and exploration of a mass in the mid-sigmoid colon (a pre-operative colonoscopic biopsy-confirmed adenocarcinoma) and surrounding tissues was performed. The sigmoid colon and distal descending colon were mobi-lized after incising the line of Toldt. The proximal site of resection was determined to be at the descending sigmoid junction. The distal site of resection was determined to be at the rectosigmoid junction. These sites were transected using a stapler. The mesentery was taken down at its base using a vessel-sealing device to allow adequate lymph node retrieval for staging, thereby completing a central mesenteric lymph-node dissection that was more extensive than a standard mesenteric lymph-node dissection for benign disease. Colon continuity was restored using a stapler. What is the appropriate CPT code(s) to report for this procedure?To view the Official AMA answer and 1000s more like this:
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