AHA Coding Clinic® for ICD-9 - 2012 Issue 1; Ask the Editor

Schatzky's Ring

We are seeing cases where an upper gastrointestinal endoscopic finding is listed as Schatzky’s ring for adult patients over 50. The ICD-9-CM’s Alphabetical Index default for this condition is code 750.3, Tracheoesophageal fistula, esophageal atresia and stenosis, which describes a congenital anomaly. In speaking with gastroenterologists, they are telling us that if the condition is found in an adult, these are acquired conditions. Should the physician be queried for clarification when the condition is not specified as acquired or congenital? ...

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