AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor
Injection of Glue into Enteric Fistula Tract
A 61-year-old female status post ileojejunal bypass with reversal and sleeve gastrectomy complicated by multiple enterocutaneous fistulas presents due to an enteric fistula that was treated on three prior occasions with fibrin glue. During her inpatient admission, she received a fibrin injection for her enterocutaneous fistula. Contrast material was injected and a fistulogram was performed demonstrating flow of contrast in the small bowel through a second hole in the skin. Injection of 3 mLs of n-Butyl cyanoacrylate glue into the fistula tract site was done with some glue entering the small bowel. A second injection was performed into the second hole with 1 mL of the glue. This filled the superior portion of the tract. Since the injection was performed into the fistula tract that led to the small bowel, what is the appropriate body part value and root operation? ...
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Article Overview
This premium article addresses a clinical coding scenario involving treatment of an enteric fistula tract during an inpatient stay. It is aimed at facility coders and other ICD-10-PCS users who need to understand how the procedure is characterized within the lower gastrointestinal tract and how the article frames the reporting question in a hospital setting.
Why This Topic Matters
Procedures involving fistula tract interventions can be coded differently depending on the anatomic site and the PCS procedure concept applied. This makes the article relevant for inpatient facility coding accuracy and for distinguishing when certain procedures are or are not reported.
What You Will Learn
- How an enteric fistula tract procedure is discussed in an inpatient coding context.
- How the article frames the anatomic location involved in the case.
- What type of coding question the scenario is meant to clarify.
- How facility reporting considerations are presented for the described procedure.
Who Should Read This
- ICD-10-PCS coders
- Hospital inpatient coding staff
- Clinical documentation improvement specialists
- Health information management professionals
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