tci General Surgery Coding Alert - 2013 Issue 2

Reader Question: Match Anatomy to Colon Resection Case

Question: How should we code an open, low-anterior colon resection with diverting ileostomy? The procedure results in removal of a portion of the sigmoid colon and rectum. Washington Subscriber Answer: Although your description lacks significant detail to ensure correct coding, it appears that the best choice for the procedure is as follows: 44145 -- Colectomy, partial; with coloproctostomy (low pelvic anastomosis) 44310 -- Ileostomy or jejunostomy, non-tube Because you state that the removed tissue includes a portion of the sigmoid colon and rectum, and that this is a low-anterior procedure, 44145 appears to be the best choice. You should...

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