tci General Surgery Coding Alert - 2024 Issue Q2

Reader Questions: Code Enterectomy and Anastamosis Procedures With One Code

Question: A gallstone was found in the middle part of the small intestine, leading to a blockage. The surgeon carried out a midline laparotomy and enterotomy to remove the gallstone. The surgeon noticed swollen tissue in the small intestine beyond the blockage point, so a partial enterectomy was performed. The surgeon then completed a functional end-to-end anastomosis at the enterotomy site. Should I use 44130 or 44120 for this procedure? West Virginia Subscriber Answer: Although part of the procedure would be described by code 44130 (Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)), that is not...

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