Cpt colectomy

A hemicolectomy is a surgical procedure to remove part of the colon. Surgeons most commonly perform hemicolectomy for colon cancer. A colectomy is a surgery on your colon. “Hemi” means that the surgery is on half of your colon. An operation on the right side of your colon is a right hemicolectomy.

Laparoscopic colectomy: A surgeon makes small incisions in the abdomen and uses special instruments, guided by a camera, to remove a section of your colon and nearby lymph nodes. Laparoscopic ...Patients with a Current Procedural Terminology (CPT) codes for primary procedure of CPT 44150, CPT 44151, CPT 44155, CPT 44157, and CPT 44158 were classified as having undergone an open TAC. Patients with CPT 44210, CPT 44211, and CPT 44210 codes had a laparoscopic TAC. ... Total abdominal colectomy is an aggressive procedure, ...Colectomy with ileostomy surgery for inflammatory bowel disease (IBD) A colectomy removes all or part of your large intestine (colon) and an ileostomy (a type of stoma) is then formed using the end of your small intestine. A stoma is an opening in your abdomen which is surgically created. It diverts faeces into a bag attached to the opening.Position the patient-side cart at a 45° angle to the pedestal of the operating bed on the lower left side, resulting in the patient-side cart approaching over the left hip (see Fig. 11.4 ). Fig. 11.4. Diagram of angle docking used for left hemicolectomy and sigmoidectomy. The patient-side cart straddles the pedestal of the operating table at ...Despite the longer operating time, laparoscopic left colectomy was associated with lower risk-adjusted rates of overall morbidity and SSI and shorter hospital stays. The laparoscopic left colectomy group also had lower rates of composite 30-day death or serious morbidity. A "division of labor" has occurred within the field of MIS techniques ...

Laparoscopic right hemicolectomy in particular is a relatively accessible technique which may be performed by a single surgeon and an assistant/camera operator; this operation serves as an excellent method to develop laparoscopic skills for more complicated colorectal procedures. In this article, we describe the technical aspects of …Port placement for right-sided colectomy. Port placement of the da Vinci S or Si system for right-sided colectomy usually consisted of the reversed-"L"-shaped procedure, except 4 studies that used left lateral or vertically-straight port placement (Table 3, Fig. 2E).Physician Coding CPT coding for physician use is currently established for intraoperative identification of sentinel lymph nodes. There are no established codes that describe the use of ICG in other surgical procedure locations. In the absence of established codes, the procedure may be reported using an unlisted code. The tableI know there is an open code for this exact procedure (44661) but I cannot find a really good explanation of how to code this for laparoscopically. C. cynthiabrown Guest. Messages 505 Best answers 0. Oct 15, 2014 #2 if it is done laparoscopic code for the colon removed with proper code, this includes fistula repair.Kentucky Subscriber. Answer: No. The CPT manual clearly states that 44139 ( mobilization [take-down] of splenic flexure performed in conjunction with partial colectomy [list separately in addition to primary procedure]) should be used with the following: 44140 colectomy, partial; with anastomosis. 44141 ... with skin level cecostomy or colostomy.Stoma creation, revision, and closure. Colorectal Surgery Codes 2017. The CPT codes for Colorectal Surgery differ based on whether the procedure is partial or total and are as follows: Traditional open procedure. 44140 Colectomy, partial; with anastomosis. 44141 Colectomy, partial; with skin level cecostomy or colostomy.I know there is an open code for this exact procedure (44661) but I cannot find a really good explanation of how to code this for laparoscopically. C. cynthiabrown Guest. Messages 505 Best answers 0. Oct 15, 2014 #2 if it is done laparoscopic code for the colon removed with proper code, this includes fistula repair.Eye cream will help moisturize your skin and fight wrinkles, but it can also reduce the puffiness in your eyes if you keep it cold. Eye cream will help moisturize your skin and fig...

Jan 25, 2022 · Hemicolectomy. Only one side — the right or left — of the colon is removed. Total proctocolectomy. The colon and the rectum are removed, but the anus remains intact. Abdominal perineal ... Code 44146 ( colectomy, partial; with coloproctostomy [low pelvic anastomosis], with colostomy) is used when a colostomy is added to a 44145 procedure. Code 44147 ( colectomy, partial; abdominal and transanal approach) describes when the physician removes a segment of colon and rectum through a combined abdominal and perineal approach with a ...distal sigmoid cuff and rectum were noted on the distal aspect. At this. point a pursestring device was used to secure a pursestring suture. around the descending colon and a 29 mm anvil was placed in the. descending colon. At this point, Dr. XXXXXXX on the bottom side and. dilated up the rectum without any issues.This video demonstrates how an Open Sigmoidectomy with Hartmann's operation was done for a large bowel obstruction due to Cancer Sigmoid colon. The surgery w...CPT. CPT Codes. Surgery. Surgical Procedures on the Digestive System. Surgical Procedures on the Intestines (Except Rectum) Enterostomy-External Fistulization of Intestines Procedures. 44310. 44300. 44310.

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Left hemicolectomy is the surgical removal of the left side of the large bowel; sigmoid colectomy is the surgical removal of the sigmoid colon. These operations are mostly performed for cancers of the left colon and sigmoid colon, though they have several other indications as well.After the colectomy has been done, a second procedure is performed to provide a means for handling stool. When is a partial colectomy done for colon cancer? A partial colectomy may be done for some people with Crohn's disease, and it might also be done to treat colon cancer or diverticulitis . After the part of the colon that is diseased is ...In addition, it is indicated in cases of unresectable polyps, cecal diverticulitis, volvulus, and Crohn’s disease. Right hemicolectomy implies division of the ileocolic, right colic, and right branch of the middle colic vessels. This can be achieved laparoscopically, laparoscopic assisted, through the open approach, or robotically. + +CPT Code 44238, Laparoscopic Procedures on the Intestines (Except Rectum), Other Laparoscopic Procedures on the Intestines Except Rectum - Codify by A. Select. ... Appendectomy vs colectomy [QUOTE="thomas7331, post: 478642, member: 5404"] Just my thoughts here and others may disagree - I would code this with 44970 because the partial cecectomy ...Laparoscopic Transverse Colectomy Govind Nandakumar Sang W. Lee DEFINITION Transverse colectomy refers to removal of the portion of the colon between the hepatic flexure and the splenic flexure— the transverse colon. This portion of the colon derives its blood supply from the right and left branch of the middle colic vessels in …For CPT 2015, several of the definitions related to colon endoscopy were revised and some of the important terms and ... resection of the colon (eg, hemicolectomy, sigmoid colectomy, low anterior resection) and has a colostomy. • Report anoscopy, proctosigmoidoscopy, or sigmoidoscopy, as appropriate for endoscopic exam of a defunctionalized ...

Description. You will receive general anesthesia right before your surgery. You will be asleep and unable to feel pain. For your proctocolectomy: Your surgeon will make a surgical cut in your lower belly. Then your surgeon will remove your large intestine and rectum. Your surgeon may also look at your lymph nodes and may remove some of …The CPT codes for colectomy are as follows: Traditional open procedure. +44139 Mobilization (take-down) of splenic flexure performed in conjunction with partial …Colostomy is often the final stage of a more complicated surgery, such as a colectomy. When this is the case, the surgery as a whole is typically a life-saving intervention. A colostomy makes that intervention possible. If you require a colectomy or similar operation, a colostomy allows your body to continue functioning with the loss of a major ...operations, such as a colectomy? CPT codes 15853 and 15854 are "add-on" codes that must be reported with select E/M visit codes. If you cannot report an E/M service—for example, during a 90-day global period after a colectomy—then you may not report these codes. The new anterior abdominal hernia repair codes include placement of mesh whenAfter the colectomy has been done, a second procedure is performed to provide a means for handling stool. When is a partial colectomy done for colon cancer? A partial colectomy may be done for some people with Crohn's disease, and it might also be done to treat colon cancer or diverticulitis . After the part of the colon that is diseased is ...colectomy, one must consider potential technical and medical issues that might arise. A laparoscopic approach will prove difficult in some patients due to technical problems. Specifically, patients who have undergone extensive open abdominal surgery in the past or are clinically obstructed might have an increasedLaparoscopic colectomy is associated with a lower incidence of postoperative complications than open colectomy: a propensity score-matched cohort analysis. Colorectal Dis . 2014 May;16(5):382-9.],[ANCHOR=],[LINK=]) and in 2015 there will be an estimated 132,700 cases of colorectal cancer in the United States, which represents 8% of total cancer ...Left hemicolectomy is the surgical removal of the left side of the large bowel; sigmoid colectomy is the surgical removal of the sigmoid colon. These operations are mostly performed for cancers of the left colon and sigmoid colon, though they have several other indications as well.This procedure would be reported with codes 44205, Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy, and 44187, Laparoscopy, surgical; ileostomy or jejunostomy, non-tube. It would be incorrect to report the intraoperative sigmoidoscopy, which may be performed to check the anastomosis.

Right hemicolectomy involves the removal of 10 cm of the terminal ileum, cecum, ascending colon, and the proximal transverse colon. Right hemicolectomy is indicated for malignant lesions involving the right colon, including the hepatic flexure and the proximal transverse colon. In addition, it is indicated in cases of unresectable polyps, …

Answer: From your description and without seeing the operative report, it appears the physician performed a partial colectomy (44140, colectomy, partial; with anastomosis) when the surgeon resects a segment of the colon and then sutures the two remaining ends together (colo-colonic anastomosis). If there was additional resections of intra ...Colectomy o Colectomy: Procedures, Complications, and Nutritional Implications Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS C ... When we think of results or outcomes of a procedure, one primary focus is the outcome of the disease process. For example, the outcome of the disease process involves assessment for cancer cure, or relief of symptoms, ...What is CPT coding for 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 ...Technicolor News: This is the News-site for the company Technicolor on Markets Insider Indices Commodities Currencies Stocks1. What is CPT 44204? CPT 44204 is a medical billing code used to describe a laparoscopic partial colectomy with anastomosis. This is a minimally invasive surgical procedure in …Hemicolectomy. A hemicolectomy is a surgery to remove the part of your large intestine called your colon. This procedure is done if your colon has been affected by a condition or has become ...Previous research was yet to establish a definite operation for transverse colon cancer (TCC); surgical procedure was often dictated by the surgeon’s preference in clinical practice. The main surgical methods could be summarized in two main points: segmental colectomy (transverse colectomy) and right hemicolectomy. The first …

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Laparoscopic dissection in right hemicolectomy was originally initiated by using a lateral‐to‐medial approach to reproduce the same steps usually performed in conventional open surgery, ... (CME/CVL) was proposed for colon cancer surgery, CME/CVL has been regarded as the principal procedure for laparoscopic colon cancer surgery. 51 , ...CPT 2000 lists three other appendectomy codes: 44950 appendectomy; 44960 appendectomy; for ruptured appendix with abscess or generalized peritonitis; and. 44970 laparoscopy, surgical, appendectomy. The first code, 44950, is used when the appendectomy is the only procedure performed. The surgeon opens the patient and finds that the appendix is ...Partial-colectomy codes are found in the Digestive System/Surgery section of CPT under "Intestines (Except Rectum)." Although partial colectomy always involves resection, CPT does not use this term. Instead, colectomies make up the latter two-thirds of the "excision" subcategory. Of these codes, eight describe partial colectomies.Aim: The aim of this study is to compare clinical and oncological outcomes of robot-assisted right colectomy with those of conventional laparoscopy-assisted right colectomy, reporting for the first time in literature, a cost-effectiveness analysis. Methods: This is a case-matched prospective non-randomized study conducted from October 2013 to October 2017 at Sanchinarro University Hospital ...There are thousands of existing codes that are updated each October. The current version is CPT 2018. But with thousands of codes out there at any given time, how can medical profe...A colectomy is a surgical procedure to treat diseases of the colon or the large intestine. During a colectomy, surgeons remove a portion of the colon. Ulcerative colitis (UC) is a disease that may ...Summary. Colectomy refers to a surgical procedure to remove all or some of a diseased or damaged colon. It is a treatment option for people with colon cancer, and it may also include the removal ...payment, or charge. Similarly, all CPT, ICD-10 and HCPCS codes are supplied for informational purposes only and represent no statement, promise, or guarantee by Ethicon that these ... 44143 Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) $1,747 44144 Colectomy, partial; with resection, with ...Good morning, Quartz readers! Good morning, Quartz readers! The UK parliament moves to delay Brexit. Following a disastrous day for prime minister Boris Johnson, who lost his parli...Laparoscopic-to-open Surgery Coding. When a procedure begins by laparoscopic approach, but for any reason must be converted (and completed) by open approach, you should report only the open approach. As described in chapter 1 of the National Correct Coding Initiative (NCCI) Policy Manual:The CPT codes for colectomy are as follows: Traditional open procedure. +44139 Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy. 44140 Colectomy, partial; with anastomosis. 44141 Colectomy, partial; with skin level cecostomy or colostomy.Right colectomy refers to the resection of a portion of the distal ileum, cecum, ascending colon, and proximal to mid-transverse colon. Extended right hemicolectomy refers to extension of the distal resection margin to include the distal transverse colon up to the splenic flexure. The techniques used to perform right and extended right ... ….

In addition, it is indicated in cases of unresectable polyps, cecal diverticulitis, volvulus, and Crohn’s disease. Right hemicolectomy implies division of the ileocolic, right colic, and right branch of the middle colic vessels. This can be achieved laparoscopically, laparoscopic assisted, through the open approach, or robotically. + +In this type of colectomy surgery, the colon is removed, along with the rectum. "Procto" means "rectum." The rectum is the part of the body that is at the end of the colon that is used to hold stool before it is eliminated from the body through the anus. With both the colon and the rectum removed, the body will need a new way to dispose of stool.A surgeon creates a colostomy or ileostomy by splitting your bowel and redirecting the end of your large intestine (colon) or small intestine (ileum) to an opening in your abdomen (a stoma). Ostomy reversal surgery connects your bowels and closes your stoma, allowing you to poop out of your anus (butthole) once again. Advertisement.44145 - CPT® Code in category: Colectomy, partial... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials.Chapter 23 Transverse Colectomy Eric L. Marderstein and Mujjahid Abbas Introduction Transverse colectomy is an uncommon procedure. Potential indications for transverse colectomy include transverse colon cancer, segmental inflammatory bowel disease, and segmental transverse colon ischemia. In most cases, however, an extended right hemicolectomy with anastomosis of terminal ileum to the distal ... TABLE 1. COLECTOMY CPT code(s) to report Descriptor Global period Work RVU Total Relative Value Unit (RVU) 44146 Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy 090 35.30 61.44 TABLE 2. CODING FOR LAPAROSCOPIC APPENDECTOMY CPT code(s) to report Descriptor Global period Work RVU Total RVU A left hemicolectomy includes resection of the transverse colon left of the middle colic vessels to the level of the upper rectum. A segmental left colectomy is performed when lesser resections are indicated (eg, trauma, polyp), provided the anastomosis is performed in well-vascularized bowel. The open techniques used to perform left colectomy ...TABLE 1. COLECTOMY CPT code(s) to report Descriptor Global period Work RVU Total Relative Value Unit (RVU) 44146 Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy 090 35.30 61.44 TABLE 2. CODING FOR LAPAROSCOPIC APPENDECTOMY CPT code(s) to report Descriptor Global period Work RVU Total RVU Cpt colectomy, CPT Coding Bulletin Articles. 3 Min Print Share Bookmark. Over the years, many Bulletin articles have been written about changes in CPT codes and how to correctly code clinical scenarios. These articles are a great resource for surgeons and their billing staff and have been organized in the below tabs by topic for easy access., Depending on the time and effort involved, lysis of adhesions might be billed separately. CPT® includes a number of codes dedicated to lysis of adhesions (categorized by location). For example: Tubes and ovaries, 58660 Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) or 58740 Lysis of adhesions ..., This guide includes Healthcare Common Procedure Coding System (HCPCS) codes used by Medicare and other health insurers to standardize coding in claims and other documentation. It is the responsibility of the provider and/or designated party responsible for coding and reimbursement to determine the appropriate code(s) based on the situation. *, The CPT codes for colectomy are as follows: Traditional open procedure. +44139 Mobilization (take-down) of splenic flexure performed in conjunction with partial …, For larger cancers, your surgeon might remove the part of the bowel where the cancer is and join the 2 ends of your colon back together. This is called a colectomy. They might also remove the lymph nodes near to the bowel in case the cancer has spread to the nodes. There are different types of colectomy. The type you have depends on where the ..., These Correct Coding Policies do not supersede any other specific Medicare coding, coverage, or payment policies. Version 12.3 VI-1 Chapter VI. Surgery: Digestive System. CPT Codes 40000 - 49999. A. Introduction. The general policy statements defined previously also apply to procedures described by the CPT range of codes, 40490-49999, that deal ..., What is a left hemicolectomy? This surgery removes a portion of the transverse colon, the descending colon, and the sigmoid colon, and then connects the transverse colon to the rectum. Some lymph nodes and surrounding tissue are also removed. Colorectal cancer surgeries., In most cases (including this one), CPT will include a parenthetical reference following the code descriptor that specifies all the primary codes with which you may report an add-on procedure. You may not apply 44139 with any other codes, including 44150 (Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy). The ..., Right colectomy refers to the resection of a portion of the distal ileum, cecum, ascending colon, and proximal to mid-transverse colon. Extended right hemicolectomy refers to extension of the distal resection margin to include the distal transverse colon up to the splenic flexure. The techniques used to perform right and extended right ..., Jul 8, 2014 ... This video presents a procedure performed on a 54-year-old male patient who underwent diagnostic colonoscopy because of some rectal bleeding ..., Although that is an accurate description, the surgeon may be unaware that CPT codes exist that specifically match the procedure performed. In this instance, if the the surgeons procedure notes were not thoroughly read, the coder might bill for the colectomy with a 44140 ( colectomy, partial; with anastomosis ), Mueller says, because a right ..., Best answers. 0. Sep 3, 2020. #1. We are coding a surgery for a Laparoscopic appendectomy with partial cecectomy. Based on the clinic note, both procedures were planned due to an appendiceal orifice polyp. We have two different opinions. Should this be a 44970 Laparoscopic appendectomy or 44204 (52) Laparoscopic colectomy, partial, with ..., Wiki CPT CODE FOR LAPAROSCOPIC SIGMOID COLON RESECTION WITH END COLOSTOMY. Thread starter CCANTER; Start date May 14, 2021; Create Wiki C. CCANTER Networker. Messages 76 Location Dalton, NE Best answers 0. May 14, 2021 #1 So my question is where I am not sure do I use 44206 with modifier 52? or 44204 and 44188?, 43180`. Total open abdominal colectomy with ileostomy. 44210. Multiple biopsies of the small intestine by means of endoscopy with progression past the second portion of the duodenum. 44361. Stomach biopsy. 43605. Proctosigmoidoscopy using rigid endoscope with collection of multiple specimens by brushing. 45300., Learn about ulcerative colitis colectomy: indications, procedure, and outcomes. A colectomy involves removing part or all of the colon and can help some with ulcerative colitis regain function., Best answers. 0. Mar 16, 2011. #2. lysis of adhesion is bundled, add a modifier 22 to primary CPT if lysis of adhesion were extensive and timing of doing so was more than 1 hour. If the colectomy was started with mobilizing of hepatic/splenic flexure and ready to do so, then aborted...code the colectomy with mod 53., An example is CPT code 44140 Colectomy, partial; with anastomosis: the most common diagnosis was for malignant neoplasm of the colon, and in 2014 Medicare Data, it was utilized 18,422 times (decreased from a 2004 high of 48,464 times).The preservice time is a total of 60: 30-min preservice evaluation, 15-min preservice positioning, and 15-min scrub, dress, and wait., Among patients with malignant disease, lower estimated blood loss, faster bowel recovery and shorter length of stay have been reported for robotic-assisted versus laparoscopic colectomy. 18–19,24 Although statistically significant, the difference in blood loss between the robotic-assisted and laparoscopic groups was approximately 36 ml and ..., There are instances where the whole colon is diseased and need to be resected. When a patient presents with toxic megacolon, either due to clostridium difficile infection or due to an underlying history of ulcerative colitis, a total abdominal colectomy is indicated. In the emergent setting, this procedure is paired with an end ileostomy., The Current Procedural Terminology (CPT ®) code 44204 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic …, Get ratings and reviews for the top 10 gutter companies in Haysville, KS. Helping you find the best gutter companies for the job. Expert Advice On Improving Your Home All Projects ..., Location. Palm Bay, FL. Best answers. 0. Jun 22, 2018. #2. I would not unbundle 49020 in the scenarios you presented. 49020 is bundled to colectomy codes including 44143 as part of the "standards of medical/surgical practice." Because the edit has this reason attached to it, if the abscess drainage is required as a result of the same pathology ..., What is a Colectomy? Colectomy is a procedure in which a surgeon removes all or part of the patient's colon (the large intestine). Surgeons carry out various types of partial colectomy to treat conditions including colon cancer, diverticulitis and benign polyps of the colon. They most commonly carry out total colectomies to treat ulcerative ..., 44145 - CPT® Code in category: Colectomy, partial... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials., Subtotal colectomy with end ileostomy: Steps and risks. This procedure involves removing a portion of the large intestine and creating an ileostomy to redirect human waste. People will likely need ..., AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor Right Colectomy with Side-to-Side Functional End-to-End Anastomosis. When a right colectomy is performed with side-to-side functional end-to-end anastomosis, is it appropriate to report an additional code for the side-to-side anastomosis? ..., Here are five expert-approved tips to make the most of your colectomy claims: 1. Begin With 44140. To report an open, partial colectomy only, you should choose 44140 ( Colectomy, partial; with anastomosis ), says M. Trayser Dunaway, MD, a general surgeon in Camden, S.C. During this procedure, the surgeon removes the diseased section of colon ..., Description. You will receive general anesthesia right before your surgery. You will be asleep and unable to feel pain. For your proctocolectomy: Your surgeon will make a surgical cut in your lower belly. Then your surgeon will remove your large intestine and rectum. Your surgeon may also look at your lymph nodes and may remove some of them., Procedure: Laparoscopic right hemicolectomy with ileocolic anastomosis. Description of Procedure: After induction of adequate general endotracheal anesthesia,(General anesthesia.) the patient was carefully positioned in the supine, modified-lithotomy position and Allen stirrups. Great care was taken to carefully pad and protect all areas of ..., CPT® Knowledge Base is a compendium of real life coding questions asked by the coding community and answered by CPT® coding experts. Over 2900 questions and authoritative answers from the CPT® professionals at the AMA. Get specific answers to challenging coding questions, and search the knowledge base of others' real world questions., The doc thinks 44143 and 44661. A fellow coder states just 44143, while another states just 44661. Preoperative Diagnosis: Perforated viscus and peritonitis. Postoperative Diagnoses: 1. Perforated diverticulitis with rupture into the bladder. 2. Multiple interloop abscesses., Background and Objective Standardization of surgical technique helps to reproduce excellent clinical outcomes, especially in teaching institutions. We aim to describe in detail our established approach for oncological right colectomy. Technique The right colon is mobilized in a five-step latero-inferior approach starting off with (1) the …, The general partial colectomy code, 44140 ( colectomy, partial; with anastomosis) should be used when portions of the colon are removed and the remaining sections are anastomosed. In this case, because the colon and small intestine are reconnected, 44160 more specifically describes the procedure. Other Articles in this issue of.