AHA Coding Clinic® for ICD-9 - 2005 Issue 2; Ask the Editor
Continent Ileovesicostomy
A patient with hypotonic, neurogenic bladder and urethral stricture was admitted to undergo a closed continent ileovesicostomy along with biopsies of the small intestine and bladder. During this procedure, a segment of the ileum was isolated, side-to-side anastomosis of the intestine was carried out and ureteral catheterization was performed. The ileum was then attached to the bladder using an end-to-end anastomosis. The ileal end was then anchored to the skin to mature the stoma. The ureters were not involved in the procedure. What are the procedure codes for this admission? ...
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Article Overview
This article reviews a surgical admission involving continent urinary diversion with bowel involvement and related biopsy procedures. It is aimed at coding professionals who need to identify the appropriate procedure codes for the bladder reconstruction and small-intestine segment isolation discussed in the case.
Why This Topic Matters
Articles like this help coders interpret operative documentation for complex urinary diversion procedures and assign inpatient procedure codes accurately.
What You Will Learn
- How the admission’s operative procedures are reflected in inpatient procedure coding
- How to recognize the broad procedure categories involved in continent urinary diversion cases
- How associated biopsy procedures are considered at a high level in the coding discussion
- How the article frames the coding of bladder and small-intestine surgical components
Who Should Read This
- Inpatient facility coders
- Health information management professionals
- Coding auditors
- Clinical documentation specialists
Codes Discussed
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