3D Don’t Be Obstructed By Colon Surgery handout

10/10/20121 Don t Be Obstructed By Colon SurgeryCaren J Swartz, CPC I, CPC H, CPMAP ractice Integrity, Understand anatomy for bowel procedures UnderstandthetermsrelatedtosurgeryofUnde rstand the terms related to Surgery of bowel Medical Necessity and You ICD 9 to ICD 10 Are you ready?? Gain understanding of procedures and gpdifferences between them Review op notes 10/10/20122 AnatomyAnatomy10/10/20123 AnatomyRightside ileocecal valve, ascending colonTo hepatic flexure curve of large bowel on the pgright side of the body, ascending to the Transverse Colon moving horizontally across the abdomenTo the splenic flexure curve of the leftside attaching transverse and descendingcolonLeftside descendingcolon to sigmoidto rectumand finally anusAnatomy 3 D lets review and answer questions 10/10/20124 What is mesentery??Mesentery Supporting membrane: a membrane that supports an organ or body part, especially the double layered membrane of the peritoneum attached to the back wall of the abdominal cavity that supports the small and large intestineyppgMedical NecessityMedicare defines "medical necessity" as services or items reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member10/10/20125 Medical NecessityConsider that CMS (formerly HCFA) has the powerundertheSocialSecurityActto

Allows the physician to remove all of the colon, while preserving the sphincter on a patient that is at risk for cancer in the colon mucosa Total Colectomy 44158 – Again, all colon and rectum are removed, mucosectomy may be performed. In this procedure the ileum is folded onto itself forming a pouch.

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  Cancer, Colons

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