AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 1; Ask the Editor

Neutropenic Colitis

A 61-year-old male with acute monocytic leukemia was admitted with fatigue, fever, chills, night sweats, leg pain, weight loss and shortness of breath. CT scan demonstrated signs of descending and sigmoid colon typhlitis, and the provider’s final diagnostic statement listed, “Neutropenic colitis, likely chemotherapy induced acute colitis.” When referencing the Index to Diseases under Typhlitis, the classification directs the coding professional to appendicitis; however, the provider disagreed and stated that typhlitis is inflammation of the colon. What is the correct code assignment for descending and sigmoid colon typhlitis? ...

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