tci Part B Insider - 2003 Issue 27

SURGERY: How to Read a Colon Surgery Report

Decipher terminology to come up with correct coding for colon procedures When it comes to colon procedures, many coders end up confused by oceans of verbiage that doesn't bear any resemblance to any code descriptors they know. And meanwhile, reimbursement is going out the window. Reading an operative report for a colon resection or other operation may be confusing for coders. "It's amazing how [surgeons] don't take their CPT books into the operating room and do what's described by the book," says Marcella Bucknam, HIM Program Coordinator at Clarkson College in Omaha, Neb. Surgeons' notes may be up...

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