tci General Surgery Coding Alert - 2015 Issue 6

Reader Questions: Check Stent Procedure Documentation

Question: How should I code the following open surgical case: The surgeon isolated the sigmoid colon using Endo-GIA: approximately 15 cm segment of sigmoid colon that was sufficient to reach the skin. Also, the left ureter was isolated and then taken down to the sigmoid conduit. The ureter was then cut and spatulated and the ends were then anastomosed to the sigmoid colon. Prior to closing the anastomosis a ureteral stent was passed through the distal aspect of the sigmoid conduit into the ureter and up into the kidney. Oregon Subscriber Answer: Based on the documentation, it appears that...

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