AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor

Persistent Postoperative Enterocutaneous Fistula

The patient has a history of bowel perforation and obstruction, and is status post complex abdominal surgery due to intestinal anastomotic leak. She was transferred to the long-term care hospital (LTCH) for ongoing care of her abdominal wound. The patient presented with an enterocutaneous fistula with a large open abdominal wound and surgical wound dehiscence. Should the fistula be coded as a persistent postoperative fistula or according to the site of the fistula? ...

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