CCANTER
Networker
Can anyone help me with a cpt code for the above procedure please. The only thing I am coming up with is 44130 but that is more for small intestine to small intestine.
here is some of the procedure
Upon entering the abdomen, extensive adhesions, especially in the area of that
prior mesh, were encountered. Reaction was so heavy in areas of the mesh that operation
in that area was nearly impossible. This became a very long and difficult process, over
two hours of lysis of adhesions in order to free up portions of the small intestine. A very
tiny enterotomy was may during this process and repaired and imbricated. Unfortunately,
a large portion of small intestine could not be freed up, however an area of dilated
intestine was identified about as distally as possible that did abut the transverse colon.
The right colon could not safely be reached nor could the terminal ileum. Therefore the
decision was made to create an anastomosis between that portion of small intestine and
the transverse colon. This decision was made as there was no possible way of reaching
the suspected area of obstruction (8-10 cm in ileum), and allow diversion from that
portion of intestine. This was performed using a stapled side by side anastomosis.
here is some of the procedure
Upon entering the abdomen, extensive adhesions, especially in the area of that
prior mesh, were encountered. Reaction was so heavy in areas of the mesh that operation
in that area was nearly impossible. This became a very long and difficult process, over
two hours of lysis of adhesions in order to free up portions of the small intestine. A very
tiny enterotomy was may during this process and repaired and imbricated. Unfortunately,
a large portion of small intestine could not be freed up, however an area of dilated
intestine was identified about as distally as possible that did abut the transverse colon.
The right colon could not safely be reached nor could the terminal ileum. Therefore the
decision was made to create an anastomosis between that portion of small intestine and
the transverse colon. This decision was made as there was no possible way of reaching
the suspected area of obstruction (8-10 cm in ileum), and allow diversion from that
portion of intestine. This was performed using a stapled side by side anastomosis.