Carla Draper
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I am looking for the correct way to code for a Sigmoidectomy with partial excision of the Terminal Ileum. They did not do the anastamosis or create the stoma due to abdominal contamination. My thought was to use 44160 with modifier 52 for reduced services due to no anastamosis or ileocolostomy. It has been suggested to use modifier 58 on both the 44160 (for the initial surgery) and also on 44141 when he returns to the OR for additional resection of the left colon with anastamosis and colostomy a few days later.