tci General Surgery Coding Alert - 2002 Issue 5

Reader Question: Hartmann-Type Partial Colectomy

Question: How should we code the following: exploratory laparotomy with drainage of multiple intra-abdominal abscesses, sigmoid colectomy, sigmoid colostomy, distal Hartmann's pouch, incidental appendectomy, and creation of silastic silo for delayed closure of abdominal wall defect? Mississippi SubscriberAnswer: Based on the information available, it is likely that the only code that could be reported for all of these procedures is 44143 (Colectomy, partial; with end colostomy and closure of distal segment [Hartmann type procedure]). The sigmoid colectomy is a type of partial colectomy covered by 44143. Also included in this procedure is the exploratory laparotomy (49000), the drainage of...

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