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Wiki laparotomy with jejunostomy & gastrostomy tubes

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Karen A.

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Exploratory laparotomy with decompressing gastrostomy tube and feeding jejunostomy tube was done. I am reviewing 44300-open enterostomy tube, separate procedure. 43830-open gastrostomy tube, separate procedure. 44015 add on code for jejunostomy. I haven't found any code/code combination to encompass the open placement of both tubes that do not run up against CCI edits. Before I call the second procedure "bundled", does anyone have any insight to offer?
 
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