Modified Graham Patch Repair of Gastric Perforation

A patient was admitted due to acute abdominal pain. Work-up revealed pneumoperitoneum and an emergent exploratory laparotomy was performed secondary to possible perforated viscus. Upon inspection, a perforation on the anterior aspect of the stomach was noted. The perforation was closed with interrupted sutures. This area was then buttressed with omentum using interrupted silk, which the surgeon referred to as a modified Graham patch repair. What is the appropriate code for a modified Graham patch repair of the perforation? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a coding scenario involving an emergent abdominal surgery for a suspected perforated viscus that was found to involve the stomach. It focuses on how the procedure is represented in ICD-10-PCS and why the article treats the omental patch component as part of the overall repair rather than as a separate coded service. The content is relevant for inpatient facility coders, surgical coders, and CDI professionals reviewing operative reports for gastrointestinal perforation repairs.

Why This Topic Matters

Correctly identifying the principal procedure for an emergent gastric perforation repair affects inpatient procedure reporting and record abstraction. The article helps readers understand how this type of operative note is translated into ICD-10-PCS without overstating separately reportable components.

What You Will Learn

  • How a modified Graham patch repair is framed in an inpatient procedure coding context
  • How the operative scenario is mapped to an ICD-10-PCS procedure code
  • How the article treats the omental patch component within the broader repair concept
  • How to interpret the relevance of the surgical approach in the documentation

Who Should Read This

  • Inpatient coders
  • Hospital CDI specialists
  • Surgical coders
  • Coding educators

Codes Discussed

  • ICD-10-PCS: 0DQ60ZZ

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