tci General Surgery Coding Alert - 2012 Issue 10

Reader Question: Details Flesh Out Ileotransverse Bypass Code

Question: Our surgeon performed an intracolonic (ileotransverse) bypass. Instead of removing the colon he did this bypass from the ileum to the transverse colon with anastomosis. How should I code the procedure?Texas SubscriberAnswer: To answer this question accurately, you'll need further information about the approach and bypass construction. Assuming that this is an open procedure and that the bypass is direct from the ileum to the transverse colon, you could report 44130 (Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy [separate procedure]). Caveat: The information you provide doesn't specify that this is an open procedure. If this...

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