tci General Surgery Coding Alert - 2012 Issue 8

Reader Question: 44120: Capture Enterectomy and Anastamosis

Question: Gallstone identified in med-jejunum causing bowel obstruction. Surgeon performed midline laparotomy and enterotomy, allowing removal of the gallstone. Finding edematous tissue in the small bowel distal to the obstruction, the surgeon performed a partial enterectomy and completed a functional end-to-end anastomosis to the enterotomy site. The op note states 44130 -- is that the correct code for this procedure?Arizona SubscriberAnswer: Although part of the procedure would be described by 44130 (Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy [separate procedure]), that is probably not the best code choice for the entire encounter. Code 44130 describes the...

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