AHA Coding Clinic® for ICD-9 - 2002 Fourth Quarter; VOLUMES 1 AND 2 NEW/REVISED DIAGNOSIS CODES
Dieulafoy Lesion
Effective October 1, 2002, new codes have been created to uniquely report Dieulafoy lesion of the stomach, duodenum and intestine. Prior to this, the ICD-9-CM index guided the user only to ulcer of the stomach. Dieulafoy lesion is a rare and difficult to recognize cause of major gastrointestinal bleeding. It consists of an arteriole that protrudes through a tiny mucosal defect. It is usually seen within 6 cm of the gastroesophageal junction on the lesser curve of the stomach. It has also been reported in the distal esophagus, small intestine, colon, and rectum. Hemorrhage can be massive, often requiring...
Subscribe or sign in to view the full article.
Article Overview
This article explains the coding context for Dieulafoy lesion, a rare cause of major gastrointestinal bleeding, and describes the ICD-9-CM diagnosis code updates that were introduced to report it more specifically. It is relevant to coders, CDI staff, and billing professionals who work with gastrointestinal diagnoses and endoscopic procedure coding. The article also includes a short case-based example showing how the condition and an associated large-intestine destruction procedure are reported.
Why This Topic Matters
Dieulafoy lesion can be hard to identify clinically and may otherwise be grouped under less specific stomach or intestinal diagnoses. Correct code selection matters for accurate documentation of gastrointestinal bleeding-related cases and for aligning diagnosis reporting with the treated anatomic site.
Article Sections
-
Dieulafoy lesion and GI bleeding
A brief coding example involving a hospitalized patient, endoscopic evaluation, and treatment of a gastrointestinal lesion. The example is used to illustrate diagnosis reporting and a related procedural service.
What You Will Learn
- The clinical context in which Dieulafoy lesion is discussed for coding purposes
- Which ICD-9-CM diagnosis code updates were introduced for the stomach, duodenum, and intestine
- How the article frames a case involving gastrointestinal bleeding and an endoscopic procedure
- What kinds of broad endoscopic treatment approaches are mentioned in connection with the lesion
Who Should Read This
- Medical coders
- Coding auditors
- CDI specialists
- Billing staff
- Healthcare revenue cycle professionals
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com