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The more descriptive code would be 44120 (enterectomy, resection of small intestine With an end ileostomy, no anastomosis is performed While the surgeon may have initially planned to carry out a 44130 procedure to extract the gallstone, the circumstances during the operation necessitated further action.
This is different from direct arteriovenous anastomosis code 36821, because the surgeon uses an autogenous vein graft, as opposed to a cannula insertion Normally for a right colectomy, we would use 44160 and the use 44310 for creation of an ileostomy however, 44160 states that an anastomosis is performed What cpt code is used to bill out just the anastamosis
The first code, 44140 (colectomy, partial
With anastomosis), is used when the physician resects a segment of colon and performs an anastomosis between the remaining ends of the colon The surgeon makes an abdominal incision, isolates the selected segment of colon and divides it proximally and distally to the remaining colon and removes it. Our surgeon performed an open right colectomy with end ileostomy
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