AHA Coding Clinic® for ICD-9 - 2009 Issue 4; Volume 3 New/Revised Codes
Colonic Stents
Effective October 1, 2009, a unique code has been created to identify the endoscopic insertion of a colonic stent (46.86). A colonic stent insertion via colonoscopy may be used as an alternative to emergency surgery to treat patients with acute malignant colonic obstruction. The stents can be placed radiographically (fluoroscopically), endoscopically, or with a combined technique. Over the last few years, the use of self-expandable metal stents (SEMS) for the relief of malignant or benign colonic obstruction as an alternative to bridge-to-surgery has become more acceptable. Prior to this change, insertion of colonic stent was assigned to code...
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Article Overview
This article covers coding guidance for colonic stent procedures, including the October 1, 2009 introduction of a specific code for endoscopic insertion and the related nonendoscopic option. It is aimed at coders, auditors, and revenue cycle staff who need to understand how the article frames procedure reporting for colonic stent placement in general clinical scenarios.
Why This Topic Matters
Colonic stenting is used in obstructive colon conditions, and the article addresses how the procedure is categorized for coding purposes after a coding update. Understanding the scope helps users locate guidance relevant to endoscopic versus nonendoscopic stent insertion.
What You Will Learn
- How the article frames coding for colonic stent insertion
- The general distinction between endoscopic and nonendoscopic placement approaches
- What coding change took effect on October 1, 2009
- The type of question the article addresses regarding reporting related procedures
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Health information management professionals
Codes Discussed
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