tci General Surgery Coding Alert - 2011 Issue 12

You Be the Coder: Anatomy Answers Cecectomy Question

Question: The surgical note says that the surgeon performed a laparoscopic "partial cecectomy," which involved stapling across the cecum. How should we code the procedure?Ohio SubscriberAnswer: You should use a laparoscopic partial colectomy code, because the cecum is a part of the colon. Based on the description of "stapling across the cecum," the best code choice is probably 44204 (Laparoscopy, surgical; colectomy, partial, with anastomosis), unless the full op report provides additional information about the connection.CPT® provides several codes for laparoscopic partial colectomy based on how the surgeon connects the ends of the resected bowel ...

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