AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor

Low Anterior Resection with Sigmoidoscopy

The patient underwent open low anterior resection, takedown and repair of a chronically incarcerated ventral incisional hernia. During the procedure, an anastomosis was performed utilizing the left colon and the remainder of the proximal sigmoid at the level of the pelvic brim. After completion of the operative procedures, the surgeon performed a limited rigid sigmoidoscopy to the level of the anastomosis to test for anastomotic leaks. There were no leaks identified. Is it appropriate to assign a separate code for the rigid sigmoidoscopy performed to check the anastomosis? ...

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