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

First Stage of Gastroschisis Repair with Silo Placement

A newborn female that was diagnosed with gastroschisis underwent placement of a silo at bedside.  The herniated contents, which included the large bowel, small bowel and stomach, were placed inside a 4 cm silo and the ring was inserted within the umbilical defect.  The silo bag was then hung upright.  The objective of the procedure is to slowly return the abdominal contents into place by sequential tightening down of the silo.  However, this is performed by placement of the protective silo around the intestine outside the abdomen so that the herniated intestine is slowly pressured into the abdominal cavity.  What is the appropriate root operation for this procedure? ...

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