tci General Surgery Coding Alert - 2002 Issue 2

Reader Question: Excision of Gastrostomy Tract

Question: A boy with cerebral palsy who had a gastrostomy in 1994 recently complained of abdominal pain. It was determined that the incision from the gastrostomy had migrated over the lower costal margin, causing a pulling effect on the stomach. Adhesions were lysed via laparotomy, and the tract was excised. The stomach then returned to its normal anatomic position. The diagnosis was tethered gastrostomy. How should excision of the gastrostomy tract be coded?Michigan Subscriber Answer: The gastrostomy tract described here appears to be similar to an adhesion. A gastrostomy involves the creation of an opening directly into the...

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