need only cpt and hcpcs level II codes
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Preop dx: Polyp of hepatic flexure, status post multiple endoscopic polypectomies Postop dx Same Procedure performed Right hemicolectomy Indication for procedure: the patient is 67 year old female with a history of a sessile polyp in the hepatic flexure. Despite multiple prior polypectomies the polyp could not be eradicated. Biopsies demonstrated that there was moderate to severe dysplasia within the lesion Subsequently, the patient to the OR suite for hemicolectomy Description of Procedure: The patient was placed in the supine position where general ET anesthesia was successfully administered. The patient’s abdomen was prepped and draped in a typical sterile maer. The patient’s prior right paramedian incision was excised using a knife. Subcu tissues were transected using a Bovie electrocautery, and the midline fascia was incised. A modest number of adhesions were then taken down sharply using the Metzenbaum scissors. The right colon was mobilized by incising the lateral peritoneal attachments. Following elevation of the right colon, the hepatic flexure was taken down using a combination of sharp and blunt dissection. The right branch of the middle colic artery was identified, and this was thought to be a good site for division of the transverse colon. This will allow the left branch of the middle colic to maintain flow to the distal segment of colon. The mesentery of the right colon was then sequentially clamped, divided and ligated using 0 silk ties. Stick ties were used as larger vessels were encountered. The terminal ileum was then positioned in a side-to-side manner with the transverse colon just distal to the right branch of middle colic artery. Entrotomies were made in the transverse colon and terminal ileum, and a side-to-side anastomosis was performed using a CIA 80 stapler. The anastomosis was completed by firing a second load of the CIA stapler. The specimen was then placed on the back table and was inspected. The polyp was marked with a stitch, and the specimen was sent to pathology for histologic evaluation. The lumen of the anastomosis was palpated and found to be widely patent. The mesenteric defect was then closed using a series of 3-0 silk simple interrupted sutures. The abdomen was copiously irrigated using warm normal saline solution. Hemostasis was confirmed, and the midline fascia was reapproximated using a running #2 Prolene suture. Subcu tissues were copiously irrigated, and the skin was closed with staples. Sterile dressing was applied, and the patient was awakened from general ET anesthesia and escorted to the recovery room, having tolerated the procedure without apparent incident. What CPT code in asigned for this procedure?
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