Hello: Our surgeon performed an open right colectomy with end ileostomy. Normally for a right colectomy, we would use 44160 and the use 44310 for creation of an ileostomy However, 44160 states that an anastomosis is performed. With an end ileostomy, no anastomosis is performed. Also, this is a Medicare patient, so the use of the 52 modifier (reduced services) with 44160 will be denied. I would appreciate any assistance with coding this.