tci General Surgery Coding Alert - 2001 Issue 8

You Be the Coder: Colostomy/Colectomy

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer. Question: How should I code this session: end descending colostomy with mucous fistula; cholecystectomy; and release of small bowel obstruction secondary to adhesions to an area of probable abscess formation in the pelvis?Arizona Subscriber Answer: The answer depends on whether a section of the colon was removed, says Elaine Elliott, CPC, a general surgery coding and reimbursement specialist in Jensen Beach, Fla. If no part of the colon was removed, 44320 (colostomy or skin level cecostomy...

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