tci General Surgery Coding Alert - 2004 Issue 12

You Be the Coder: Colostomy Takedown With Re-Anastomosis

Reviewed on May 15, 2015; no changes to content   Question: How should I report colostomy takedown and re-anastomosis? Is the re-anastomosis included in 44340, or should I add a separate code for it?Answer: You need report only a single code for colostomy takedown with re-anastomosis, but you should choose 44625 (Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal) rather than 44340 (Revision of colostomy; simple [release of superficial scar] [separate procedure]).Code 44625 describes takedown of the colostomy and the re-approximation of the bowel ends, whereas 44340 describes only takedown of...

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