tci General Surgery Coding Alert - 2010 Issue 3

Reader Question: Choose Specific Colonoscopy Stoma Code

Question: Operative notes indicate that the surgeon performed a colonoscopy through a created stoma. Is there a specific CPT code that I should use for this particular procedure? Illinois SubscriberAnswer: You have several codes to choose from when the surgeon performs a colonoscopy via artificial stoma. Go back to the op note to get some supporting details to help you select the proper code. For instance, did the surgeon perform a biopsy, take out a foreign body, or remove a lesion with a specific technique during the colonoscopy? You should also find out whether the stoma was a colostomy...

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