AHA Coding Clinic® for ICD-9 - 2011 Issue 3; Ask the Editor
Serial Transverse Enteroplasty Procedure (STEP)
A 3-month old was born with short gut syndrome secondary to an in utero volvulus and multiple small bowel atresias. Her small intestine was about 20 centimeters at the time of her initial laparotomy. A serial transverse enteroplasty procedure (STEP) was performed in order to lengthen her small bowel to increase the absorptive surface, decrease stagnation and establish a stable feeding route. What is the correct procedure code assignment for the STEP procedure? ...
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Article Overview
This article reviews a surgical case involving short gut syndrome and the serial transverse enteroplasty procedure (STEP). It is intended for coders and revenue cycle professionals seeking guidance on how the procedure is categorized for coding purposes, with emphasis on the clinical context and the procedure coding framework involved.
Why This Topic Matters
Understanding how this procedure is represented in coding resources helps support accurate procedure selection for uncommon bowel-lengthening surgery cases and related inpatient coding review.
What You Will Learn
- How the STEP procedure is discussed in a coding context
- What clinical scenario prompted the coding question
- How the article frames procedure code assignment for this surgery
- The general type of coding guidance provided for uncommon bowel-lengthening operations
Who Should Read This
- Medical coders
- Inpatient coding staff
- Health information management professionals
- Revenue cycle teams
Codes Discussed
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