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9 Οκτ 2019 · CPT 44626: Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (e.g., closure of Hartmann type procedure) Let’s start breaking down the difference in these codes. Starting with CPT 44620, this is your code for your “basic” takedown procedure.
- Ostomy Coding Revisited – Coding Ostomy Revisions like a Pro
An ostomy revision occurs when a previously created ostomy...
- Ostomy Coding Revisited – Coding Ostomy Revisions like a Pro
28 Οκτ 2004 · Code 44625 describes takedown of the colostomy and the re-approximation of the bowel ends, whereas 44340 describes only takedown of the colostomy. You would use 44625 when an end colostomy is taken down and requires that the surgeon re-establish the continuity of the colon.
11 Νοε 2021 · An ostomy revision occurs when a previously created ostomy (i.e., colostomy or ileostomy) is surgically altered in some way, but the patient still leaves the OR with the same type of ostomy. If the ostomy is no longer functioning at the end of the case, that’s a takedown.
Does anyone have a suggestion for the code used for this procedure? I have researched and cannot find anything telling me what code to use. If the procedure...
5 Ιουν 2012 · No, you aren't missing anything. You do need some resection in order to use the 44626, but there almost certainly was some, they just don't always make it real clear in the op note. Presumably you've got a path report for it. I would put the 22 on the 44626.
Reversal of temporary stomas is associated with significant complications, which can be minimizing by optimizing timing of closure and evaluating anastomotic integrity prior to stoma closure. A variety of techniques have been described to limit the morbidity of ileostomy and colostomy reversal.
Laparoscopic Hartmann procedure reversal (LHPR) is a challenging operation involving the closure of a colostomy following formation of colorectal anastomosis. In most instances, the purpose...