Wiki another gi/gyn surgery coding question

[hotmailmary@hotmail.com]

any ideas on this one:

PROCEDURES:
1. Exploratory laparotomy.
2. Resection of mass of the rectovaginal septum with radical
right pelvic side wall dissection, and block hysterectomy, BSO,
resection posterior lateral vagina, low anterior resection with
stapled colorectostomy, mobilization of splenic flexure, loop
ileostomy, right ureterolysis, placement of right ureteral stent,
bilateral pelvic lymph node dissection, periaortic lymph node
dissection, appendicectomy.

 

[LTibbetts]

What have you chosen so far for a code? Maybe we can tell you if you are on the right track

 

[hotmailmary@hotmail.com]

44207 Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anasto
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44213 Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) add on
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49205 Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam
modifer 62,51

50715 ureterolysis
modifer 62,59,51

44310 Ileostomy or jejunostomy, non-tube
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58150 abd hysterectomy
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50605 Ureterotomy for insertion of indwelling stent, all types
modifer 62,51

38562 Limited lymphadenectomy for staging (separate procedure); pelvic and para-
modifer 62,51

57106 Vaginectomy, partial removal of vaginal wall;
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44955-Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure add on
modifier 62