Urology Coding Alert

You Be the Coder:

Differentiate General Surgeon's and Urologist's Work

Question: How should I report the following surgery? 16-year-old boy with spina bifida with congenital fecal incontinence General surgeons perform a laparoscopic delivery of the appendix through the umbilical area with partial delivery of the cecum also through the umbilical area Urology surgeon came in and tailored the appendix for catheterizable stoma for fecal incontinence. The cecum was imbricated over the appendix to create a valve mechanism. The distal aspect of the appendix was transected. The appendix was catheterized with an 8 French feeding tube without difficulty. The cecum was delivered back into the abdomen. General surgery approximated the fascia, and performed fascial closure. Urology surgeon matured the stoma.Washington D.C. SubscriberAnswer: For the general surgeon you would report the following:44979 (Unlisted laparoscopy procedure, appendix) for the isolation and exposure of the appendix and part of the cecum.For the urologist you should report the following:50845 (Cutaneous appendico-vesicostomy) for the operation on [...]
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