Surgical Procedure of Primary Site: Rectosigmoid
Code 60: Total proctocolectomy, NOS
Code 65: Total proctocolectomy with ileostomy, NOS
Code 66: Total proctocolectomy with ileostomy and pouch
Code 70: Colectomy or proctocolectomy in continuity with other organs
Assign code 60 when total proctocolectomy is performed for rectosigmoid cancer. Total proctocolectomy is removal of the colon from the cecum to the rectosigmoid junction as well as the rectum. If proctocolectomy is performed with ileostomy, assign code 65. If proctocolectomy is performed with ileostomy and pouch, assign code 66. If a patient has a colectomy or proctocolectomy with resection of contiguous organs for rectosigmoid cancer, assign code 70.