Laparoscopic-Assisted Total Proctocolectomy

A 26-year-old man with chronic ulcerative colitis refractory to medical treatment is admitted for surgical treatment of his condition. The entire colon and rectum is excised and an ileal pouch is created. The surgeon describes this procedure as laparoscopic total proctocolectomy. What are the appropriate procedure code assignments for laparoscopic total proctocolectomy with J-pouch construction, ileal pouch anal anastomosis and diverting loop ileostomy? The Index to Procedures does not provide an index entry for proctocolectomy or coloproctectomy, although both terms are listed in the Tabular List under code category 45.8, Total intra-abdominal colectomy. ...

Subscribe or sign in to view the full article.

articles:   
Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article reviews a surgical coding scenario involving laparoscopic-assisted treatment for ulcerative colitis and the associated procedure code assignment considerations. It is aimed at coders, auditors, and healthcare professionals who work with inpatient or procedural coding and need to understand how the article frames the operation, related terminology, and the coding references involved.

Why This Topic Matters

Accurate interpretation of major colorectal surgery documentation affects procedure coding, records abstraction, and billing integrity. The article helps readers understand how a complex operative report is approached within the applicable procedure classification.

What You Will Learn

  • How the article frames a laparoscopic-assisted colorectal surgery coding scenario
  • What procedural and indexing terminology is relevant to the case
  • How the article presents the code assignment discussion at a high level
  • What broader coding resources and classification concepts are involved

Who Should Read This

  • Inpatient coders
  • Procedure coders
  • Coding auditors
  • Clinical documentation specialists
  • Health information management professionals

Codes Discussed

  • ICD-9-CM Procedure: 45.81

Code Ranges Discussed

  • ICD-9-CM Procedure: 45.8

Subscribe or sign in to view the full article.

articles:   
  • The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
  • Current newsletters added each quarter
  • Full Archives - over 3100 articles
  • ALL years/issues back to 1984 organized by year and issue
  • Includes ICD-10-CM/PCS Articles since 2013
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - ICD-10-CM/PCS +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?