AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 3; Ask the Editor
Control of Bleeding with Hemostatic Clip and Hemospray®
A patient presents for small bowel enteroscopy secondary to melena. The patient is status post gastric bypass. The gastrojejunal anastomosis was characterized by ulceration. There was oozing from the periphery of the ulcer that would not stop bleeding. A hemostatic clip was placed with continued oozing. In order to stop active bleeding, Hemospray® was then applied. Would both the application of the hemostatic clip and Hemospray® be reported separately? ...
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Article Overview
This premium article discusses a gastrointestinal bleeding scenario involving endoscopic intervention after gastric bypass and examines whether more than one service may be reported when both a clip and a topical hemostatic agent are used. It is intended for coders and billing professionals who work with inpatient procedural coding and need to understand how the article treats the use of ICD-10-PCS in this setting.
Why This Topic Matters
Correctly capturing endoscopic bleeding-control services affects procedure reporting accuracy and may influence facility coding outcomes for complex gastrointestinal cases.
What You Will Learn
- How the article frames reporting of endoscopic bleeding-control interventions in a gastrointestinal case.
- The general coding context for using ICD-10-PCS in a post-bypass upper GI bleeding encounter.
- How the article addresses situations where multiple hemostatic methods are used during the same procedure.
- The procedural setting and specialty context discussed in the article.
Who Should Read This
- Inpatient coders
- Hospital outpatient coders
- Coding auditors
- Revenue cycle professionals
- Gastroenterology coding staff
Codes Discussed
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