tci General Surgery Coding Alert - 2011 Issue 7

Intestinal Resection: 44202 Family: Hone Your Enterectomy Coding Skills With This Case Study

Plus: Watch for unlisted service you can't afford to miss.Challenge yourself with this real-life complex fistula surgery to see if you can pinpoint the codes this documentation does -- and doesn't -- back up.Begin by Analyzing the Report ExcerptThe preliminary report states:Preoperative Diagnosis: Crohn's disease. Procedure Performed: Laparoscopic-assisted right hemicolectomy and fistulae take-down. Procedure Description: The surgeon established pneumoperitoneum and inserted the camera through a 10mm infraumbilical incision, identifying a ileocolic phlegmon in the right lower quadrant.The surgeon began by reflecting the small bowel from the pelvis into the upper abdomen, then freeing the terminal ileum...

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