Staged Laparoscopic Gastric Conduit and Placement of Feeding Tube

A patient was admitted for a staged laparoscopic gastric conduit for treatment of esophageal cancer and placement of a feeding tube into the jejunum. During the first stage of the procedure, the left gastric arteries were transected, next the jejunum was attached to the abdominal wall using endostitch and tie knot. A needle was placed into the jejunum and the jejunostomy tube was placed with Seldinger technique. Further sutures were used to reinforce the jejunum to the abdominal wall. What is the appropriate ICD-10-PCS code assignment for a staged laparoscopic gastric conduit procedure with jejunostomy feeding tube? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article addresses ICD-10-PCS coding for a staged laparoscopic gastric conduit procedure and related jejunostomy feeding tube placement. It is written for coding professionals who need to understand how the procedure is framed, what major operative components are involved, and how the article approaches assignment of the relevant procedure codes in a cancer-related surgical setting.

Why This Topic Matters

Staged upper gastrointestinal surgeries can involve multiple operative components that may be coded separately. This article helps coders evaluate the procedure scope and the operative elements discussed so they can review the full coding guidance before assigning ICD-10-PCS codes.

What You Will Learn

  • How the staged procedure is described in the operative setting
  • How the article frames the coding question for ICD-10-PCS
  • What broad procedural components are involved in the laparoscopic and feeding tube portions of the case
  • How the article presents the coding focus for an esophageal cancer-related surgery

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle professionals
  • Clinical documentation improvement specialists

Codes Discussed


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