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Wiki CPT for Ileostomy with Ileoproctostomy

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maine4me

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Can someone help me with a code for an ileostomy with ileoproctostomy? I have found the ileostomy code, but not one for the combination. No mention of a colectomy.
 
Looking at the description, would protectomy or partial protectomy codes apply. 44113 or 44114? if that series cant be applied then u are left with only ileostomy and unlisted for proctostomy :confused:
 
maine4me said:
Can someone help me with a code for an ileostomy with ileoproctostomy? I have found the ileostomy code, but not one for the combination. No mention of a colectomy.
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Is this part of a subtotal (partial) colectomy? I know you said there was no mention of a colectomy. However, why else pull the ileum down and attach it to the rectum? What did they do with the Colon (large intestine)? Look at 44140-44147 and see if one of these fits. You may want to query the surgeon for clarification and verification.
 
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