tci General Surgery Coding Alert - 2010 Issue 11
You Be the Coder: 44120 Has Two Ends
Question: The surgeon performed a small bowel resection, placing bowel clamps at proximal and distal resection margins surrounding necrotic tissue. The surgeon then reanastomosed the small bowel by opening an enterotomy in both the proximal and distal end. Should we report this as 44120 and 44121 for an additional resection?Answer: No, the correct coding for this case is simply 44120 (Enterectomy, resection of small intestine; single resection and anastomosis).The surgeon removed only one necrotic bowel section. If the patient had multiple necrotic bowel sections and the surgeon removed each section, you would report +44121 (... each additional...
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