Wiki Colostomy Revision

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Callieb

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Crestwood, KY
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I think I am making more of this than there is but having rough day. Patient was having recurring prolapse of rt colostomy. Dr did a conversion. Took stoma down and entered peritoneal cavity where parastoma hernia was found and which was excised. Ostomy completely mobilized into the wound. He then converted to a Brooke ileostomy.
Would you just code an ileostomy 44310 and can you code the hernia?
 
I would use CPT 44346, Revision of colostomy; with repair of paracolostomy hernia and add -22 if there was documentation of a lot of additional work converting to an ileostomy.
 
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