tci General Surgery Coding Alert - 2002 Issue 2

Reader Question: Transverse Colectomy

Question: How should I code an "en bloc" transverse colectomy with distal stomach, distal pancreas and spleen with vagotomy Roux-en-Y gastrojejunostomy and primary colonic anastomosis? This was done for a carcinoma of the transverse colon with involvement of the distal pancreas and stomach.Iowa Subscriber  Answer: The claim described should be coded:43633 gastrectomy, partial, distal; with Roux-en-Y reconstruction 43635 vagotomy when performed with partial distal gastrectomy (list separately in addition to code[s] for primary procedure) 44140 colectomy, partial; with anastomosis 48140 pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy. As the highest-paid procedure, 48140 should be reimbursed...

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