AHA Coding Clinic® for ICD-9 - 2009 Issue 4; VOLUMES 1 & 2 NEW/REVISED CODES
Bilious Emesis and Vomiting of Fecal Matter
Effective October 1, 2009, expansions have been made to differentiate types of vomiting. Code 787.04, Bilious emesis, has been created to report the vomiting of bile. When bilious emesis occurs in the adult, it is most often associated with previous surgery, intestinal malrotation, intussusception, incarcerated inguinal hernia and mechanical obstruction due to foreign body. Code 569.87, Vomiting of fecal matter, has been created, for the expulsion of fecal matter that has been drawn up from the intestines through spasms of the stomach muscles. 787 Symptoms involving digestive system 787.0 Nausea and vomiting Excludes: vomiting Add fecal...
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Article Overview
This article explains a coding update focused on digestive-system symptoms and related diagnosis classification in ICD-9-CM. It is aimed at coders, billers, and clinical documentation teams who need to understand how the new and revised vomiting-related entries are organized and how the changes are presented in the code index and tabular structure. The discussion centers on the scope of the update, related category placement, and the affected diagnostic terms.
Why This Topic Matters
Clear distinction among vomiting-related diagnoses affects documentation alignment, code selection, and consistency in reporting digestive-system symptoms. Understanding the update helps coding professionals interpret the revised ICD-9-CM structure and recognize where the new entries fit within the classification system.
Article Sections
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Effective October 1, 2009 update
Introduces the timing and purpose of the coding changes and frames the article as a diagnosis-classification update.
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Digestive-system symptom category changes
Summarizes the relevant ICD-9-CM category structure and the newly distinguished vomiting-related entries discussed in the article.
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Related index and tabular references
Lists associated classification references and contextual placement within the broader digestive-system categories.
What You Will Learn
- The scope of the diagnosis-code update effective in 2009
- How the article organizes vomiting-related terms within ICD-9-CM
- Which parts of the digestive-system symptom classification are affected
- How related index and tabular references are presented in the update
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Clinical documentation specialists
- Healthcare revenue cycle teams
Codes Discussed
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