lindacoder
Guest
I have a Medicare patient that in November 2010 underwent sigmoidectomy, colorectal anastomosis, ileostomy. The patient had nothing but trouble with her ileostomy and in March of this year underwent a Barium Enema which read out as "possible anastomotic stricture near the rectosigmoid junction." Patient was wanting her ileostomy taken down and prior to that physician performed a colonoscopy. It reads: Colonoscope was inserted into the anus. This was advanced to about 15-20 cm. some fecal material was present. This was evacuated with the evacuator. After evacuating this, I could not find a lumen which can be cannulated or ballooned. Extensive attempts at cannulating the rectal stump or looking at this area did not reveal any openings. After about 15 minutes of trying this, the procedure was terminated. I believe the pateint has a significant stricture of the rectosigmoid junction which would make it unsafe to close her ileostomy at this time.
Would I still use CPT G0121 with diagnosis of stricture and attention to ileostomy? I would also put a modifier 53 since it had to be discontinued. Any input is appreciated.
Thanks
Would I still use CPT G0121 with diagnosis of stricture and attention to ileostomy? I would also put a modifier 53 since it had to be discontinued. Any input is appreciated.
Thanks