A patient with an abnormal computed tomography scan of the gastrointestinal tract underwent upper endoscopy. The provider found a large, non-bleeding, chronic perforation on the greater curvature and posterior wall of the gastric body. A nasogastric (NG) tube was passed into the esophagus. A wound vacuum assisted closure (VAC) sponge was placed via the endoscope onto the gastric defect, and liquid was suctioned into the wound VAC. What is the correct code assignment for the endoscopic wound VAC placement?
The wound VAC sponge was placed over the gastric perforation to allow it to heal on its own. Typically wound VAC placement as part of operative wound closure is not coded separately. In this case, the endoscopic placement of the wound VAC is coded and classified as “other device,” because it was placed to promote healing and was the only treatment for the gastric perforation. Assign the following procedure code:
0DH68YZ Insertion of other device into stomach, via natural or artificial opening endoscopic