Max Rady College of Medicine

Concept: Colectomy (Large Bowel Resection) Procedures

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Concept Description

Last Updated: 2022-08-15

Introduction

    This concept contains the ICD-9-CM and Canadian Classification of Health Interventions (CCI) codes used to identify colectomy (large bowel resection) procedures / interventions performed in hospital. The information was used to identify these codes in Lix et al. (2021).

Data Source

    The data for identifying colectomy (large bowel resection) procedure / intervention codes comes from the Hospital Abstracts data.

Colectomy / Large Bowel Resection Procedure / Intervention Codes

    The following lists identify the ICD-9-CM procedure codes and the CCI intervention codes, and descriptions of these codes, used to identify Colectomy (Large Bowel Resection) in the hospital abstracts data.

    NOTE: The list of these codes can be found on-line in Appendix 3: Appendix Table 3.5 Large Bowel Resection Codes of the deliverable:

ICD-9-CM Procedure Codes

    ICD-9-CM Codes Description
    45.7
    Other Open and other partial excision of large intestine
    45.71
    Segmental resection for multiple traumatic lesions of large intestine
    45.72
    Open and other cecectomy / resection of cecum and terminal ileum
    45.73
    Open and other right hemicolectomy / ileocolectomy / right radical colectomy
    45.74
    Open and other resection of transverse colon
    45.75
    Open and other left hemicolectomy
    45.76
    Open and other sigmoidectomy
    45.79
    Other and unspecified partial excision of large intestine / enterocolectomy NEC
    45.8
    Total intra-abdominal colectomy / excision of cecum, colon, and sigmoid
    45.81
    Laparoscopic total intra-abdominal colectomy
    45.82
    Open total intra-abdominal colectomy
    45.83
    Other and unspecified total intra-abdominal colectomy
    46.04
    Resection of exteriorized segment of large intestine
    48.4*
    Pull-through resection of rectum
    48.5
    Abdominoperineal resection of rectum
    48.50
    Abdominoperineal resection of rectum, not otherwise specified
    48.51
    Laparoscopic abdominoperineal resection of rectum
    48.52
    Open abdominoperineal resection of rectum
    48.59
    Other abdominoperineal resection of rectum
    48.6
    Other resection of rectum
    48.61
    Transsacral rectosigmoidectomy
    48.62
    Anterior resection of rectum with synchronous colostomy
    48.63
    Other anterior resection of rectum
    48.64
    Posterior resection of rectum
    48.65
    Duhamel resection of rectum
    48.69
    Other
    17.3
    Laparoscopic partial excision of large intestine
    17.31
    Laparoscopic multiple segmental resection of large intestine
    17.32
    Laparoscopic cecectomy
    17.33
    Laparoscopic right hemicolectomy
    17.34
    Laparoscopic resection of transverse colon
    17.35
    Laparoscopic left hemicolectomy
    17.36
    Laparoscopic sigmoidectomy
    17.39
    Other laparoscopic

    NOTE: * includes all sub-codes

CCI Intervention Codes

    CCI Codes Description
    1.NM.87
    Excision partial, large intestine
    1.NM.87.DA
    Simple excision, laparoscopic
    1.NM.87.LA
    Simple excision, open
    1.NM.87.DF
    Colocolostomy anastomosis, laparoscopic
    1.NM.87.RN
    Colocolostomy anastomosis, open
    1.NM.87.DE
    Colorectal anastomosis, laparoscopic
    1.NM.87.RD
    Colorectal anastomosis, open
    1.NM.87.DN
    Enterocolostomy anastomosis, laparoscopic
    1.NM.87.RE
    Enterocolostomy anastomosis, open
    1.NM.87.DX
    Stoma formation and distal closure, laparoscopic
    1.NM.87.TF
    Stoma formation and distal closure, open
    1.NM.87.DY
    Stoma formation with mucous fistula, laparoscopic
    1.NM.87.TG
    Stoma formation with mucous fistula, open
    1.NQ.87
    Excision partial, rectum (includes proctocolectomy, procto-sigmoidectomy, pull through, rectosigmoidectomy, anterior resection)
    1.NQ.87.LA
    Closure by apposition, open
    1.NQ.87.DA
    Closure by apposition, laparoscopic
    1.NQ.87.RD
    Colorectal anastomosis, open
    1.NQ.87.DE
    Colorectal anastomosis, laparoscopic
    1.NQ.87.TF
    Colostomy with Hartman or submucosal fistula, open
    1.NQ.87.DX
    Colostomy with Hartman or submucosal fistula, laparoscopic
    1.NM.89
    Excision total, large intestine
    1.NM.89.DF
    Ileorectal anastomosis, laparoscopic
    1.NM.89.RN
    Ileorectal anastomosis, open
    1.NM.89.DX
    Stoma formation and distal closure, laparoscopic
    1.NM.89.TF
    Stoma formation and distal closure, open
    1.NM.91
    Excision radical, large intestine (including en bloc resection)
    1.NM.91.DF
    Colocolostomy anastomosis, laparoscopic
    1.NM.91.RN
    Colocolostomy anastomosis, open
    1.NM.91.DE
    Colorectal anastomosis, laparoscopic
    1.NM.91.RD
    Colorectal anastomosis, open
    1.NM.91.DN
    Enterocolostomy anastomosis, laparoscopic
    1.NM.91.RE
    Enterocolostomy anastomosis, open
    1.NM.91.DX
    Stoma formation and distal closure, laparoscopic
    1.NM.91.TF
    Stoma formation and distal closure, open
    1.NM.91.DY
    Stoma formation with mucous fistula, laparoscopic
    1.NM.91.TG
    Stoma formation with mucous fistula, open
    1.NQ.89
    Excision total, rectum
    1.NQ.89.KZ
    Coloanal anastomosis, abdominoperineal approach and pouch formation
    1.NQ.89.GV
    Coloanal anastomosis, combined endoscopic approach
    1.NQ.89.SF
    Coloanal anastomosis, abdominal anterior approach and pouch formation
    1.NQ.89.AB
    Stoma formation with distal closure, combined endoscopic approach
    1.NQ.89.RS
    Stoma formation with distal closure, anterior approach, with continent ileostomy
    1.NQ.89.LH
    Stoma formation with distal closure, abdominoperineal approach, with continent ileostomy

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References 

  • Lix LM, Singh H, Derksen S, Sirski M, McCulloch S. Gastrointestinal Endoscopy (GIE) Utilization in Manitoba. Winnipeg, MB: Manitoba Centre for Health Policy, 2021. [Report] [Additional Materials] (View)


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Rady Faculty of Health Sciences,
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University of Manitoba
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