AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 2; Ask the Editor
Control of Bleeding with Hemospray®
A patient with a history of duodenal ulcer was admitted for epigastric discomfort, weakness and melena. On esophagogastroduodenoscopy (EGD) examination, a duodenal ulcer with adherent clot was found in the second portion of the duodenum. To treat the bleeding ulcer, two sprays of Hemospray® were applied; there was no bleeding at the end of the procedure. Since hemostatic spray was applied to control bleeding, are two codes assigned, one for Control and one for the application of the hemostatic spray? What ICD-10-PCS codes are assigned for this procedure? ...
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Article Overview
This article explains a gastrointestinal bleeding case managed during endoscopy and focuses on how the procedure is represented in ICD-10-PCS. It is intended for coders and revenue cycle staff who need to understand how the article frames the coding question, the relevant procedural context, and the PCS assignment guidance discussed in the premium content.
Why This Topic Matters
Endoscopic bleeding control cases can raise coding questions about procedure classification and how newer technology procedures are represented in ICD-10-PCS. This article helps readers identify the correct scope of the coding discussion without exposing the full premium analysis.
What You Will Learn
- How an upper gastrointestinal bleeding case is discussed for ICD-10-PCS coding purposes.
- What procedural context is relevant when a hemostatic spray is used during endoscopy.
- How the article frames the coding question around bleeding control and topical hemostatic agent application.
- The type of ICD-10-PCS guidance associated with this procedure scenario.
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Healthcare compliance staff
Codes Discussed
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