My surgeon performed a 44680 laparoscopically. He wants to code 44680 and 44238. These are the same procedure, correct? Am I missing something?
The notes read: The abdomen was insufflated with Veress technique in the left upper quadrant. An eleven mm forward viewing radially dilating port was placed in the right upper quadrant. The camera was inserted and the abdomen was inspected. 4 additional 8 mm ports were placed. The robot was then docked. The right colon was identified and the terminal ileum was grasped. The bowel was run from the ileocecal valve to the anastomosis. The common channel of bowel appeared to have been reduced while running the bowel. The common change was decompressed while the proximal bowel was dilated. The Roux limb was then inspected from the anastomosis to the gastrojejunostomy. The biliopancreatic oh duodenal limb was then identified and traced back to the ligament of Treitz. The mesenteric defect posterior to the anastomosis was closed with a running 3-0 strata fix suture. All ports were then removed and the skin was closed with subcuticular Monocryl suture. All wounds were dressed.
