tci General Surgery Coding Alert - 2014 Issue 10

Reader Question: Duodenojejunostomy Depends on Approach

Question: I’m not familiar with this term and don’t know how to report a duodenojejunostomy — can you help?  Ohio Subscriber Answer: The term duodenojejunostomy means that the surgeon joins the duodenum and jejunum, which are the first and middle sections of the small intestine, creating an artificial opening between them. A few codes are available for the procedure, depending on the details of the surgery. If the surgeon removes just one congruent section of small intestine between the duodenum and jejunum and performs just one anastomosis, which is the surgical connection that creates the new...

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