A patient diagnosed with imperforate anus with perineal fistula was taken to the operating room for posterior sagittal anorectoplasty. The anterior rectal wall was dissected from the perineal body until the lower rectum reached the skin surface. The perineal body was reconstructed with sutures. The same was done posteriorly and the sphincter complex was tacked to the posterior wall of the rectum. The wound was sutured anteriorly and posteriorly, and the surgeon created an anoplasty. Are separate codes assigned for rectum and anus when a posterior sagittal anorectoplasty is done?
No, only one code for the reposition of the rectum is reported. The anastomosis of the rectum to the anus is integral to repositioning of the rectum. The intent of a posterior sagittal anorectoplasty is to correct anorectal and cloacal malformations. The lower rectum was brought to the skin surface and the anal sphincter complex was tacked to the posterior wall of the rectum. This meets the root operation definition of “Reposition” – Moving to its normal location, or other suitable location, all or a portion of a body part. Assign the following code:0DSP0ZZ Reposition rectum, open approach, for the posterior sagittal anorectoplasty.