Health Information Management

To code or not to code: That is the question

Briefings on Coding Compliance Strategies, January 1, 2010

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Understand the clinical picture

Coding for closure or takedown of colostomy or ileostomy requires closer examination.

Coders are somewhat adept at identifying codes V55.2 (attention to ileostomy) and V55.3 (attention to colostomy). This is a great start, but they must also capture the operation. For example, they must report ileostomy closure with 46.51 and colostomy closure with 46.52. This is where some coders make mistakes.

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