AHA Coding Clinic® for ICD-9 - 2013 Issue 3; Ask the Editor
Nesidoblastosis Status Post Gastric Bypass
A 44-year-old female post gastric bypass for morbid obesity developed symptoms of hypoglycemia and was found to have endogenous hyperinsulinemic hypoglycemia and hyperplastic pancreatic islet beta cells. The provider diagnosed “post gastric bypass nesidioblastosis.” The patient was admitted for treatment and underwent subtotal pancreatectomy and splenectomy. The term “nesidioblastosis” is not indexed in ICD-9-CM. What are the appropriate code assignments for this admission? ...
Subscribe or sign in to view the full article.
Article Overview
This article reviews a coding scenario involving a patient with symptoms and findings after gastric bypass, including a pancreatic surgical procedure and an uncommon diagnostic term that is not directly indexed in ICD-9-CM. It is aimed at coding professionals who need to understand how the case is approached within ICD-9-CM, including diagnosis and procedure code selection considerations for the admission.
Why This Topic Matters
Uncommon postoperative diagnoses and bariatric-surgery complications can be difficult to classify correctly, especially when the terminology used by the provider is not directly indexed. This article helps coders interpret a real-world inpatient scenario and understand the types of coding issues that arise when multiple conditions and procedures are involved.
What You Will Learn
- How an uncommon postoperative diagnosis term is handled in an ICD-9-CM coding context
- How a bariatric-surgery-related complication scenario is framed for coding
- How inpatient diagnosis and procedure coding considerations intersect in a case involving hypoglycemia and pancreatic surgery
- How to think about code assignment when the provider documentation includes terminology not directly indexed in the code set
Who Should Read This
- Medical coders
- Inpatient coding specialists
- Coding auditors
- HIM professionals
- Bariatric surgery coding staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com