tci General Surgery Coding Alert - 2000 Issue 12

Reader Question: Gunshot Wound

Question: A patient has a gunshot wound to the abdomen. How should I code excision and closure of gastric wound as well as a perforation of the jejunum?Nebraska SubscriberAnswer: Two distinct codes may be used because the gunshot affected two sites, the stomach and the jejunum, says Kathleen Mueller, RN, CPC, CCS-P, a general surgery coding and reimbursement specialist in Lenzburg, Ill. For the stomach repair, code 43840 (gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound or injury) should be used, and 44602 (suture of small intestine [enterorrhaphy] for perforated ulcer, diverticulum, wound, injury or rupture; single...

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