tci Outpatient Facility Coding Alert - 2013 Issue 2

ICD-10: Change Your Coding Mindset for Gastric Ulcers Under ICD-10

Chronicity and hemorrhage will outweigh obstructions in code choices. When you report gastric ulcer diagnoses after ICD-10 goes into effect in October 2014, you won’t need to focus as much on obstructions. But you will need to concentrate on chronicity, along with presence or absence of hemorrhage and perforations. Take Current Code Options to the 5th Digit For gastric ulcer reporting in ICD-9, you begin with base code 531 (Gastric ulcer). Then, you assign a fourth digit expansion that explains the chronicity and presence or absence of perforation and hemorrhage. Your current choices include: 531.0 (Acute gastric...

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