Coding experts Alicia and Laureen from CCO review the new 2025 ICD-10-CM code changes.
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DA20.3 Perforation of oesophagus International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision, v2024-01 Perforation of oesophagus is a penetration or hole of the wall of the oesophagus, resulting in luminal contents in oesophagus flowing into the mediastinum and/or thoracic cavity.
exclusions code elsewhere sections/codes in this section (DA20.3-DA20.3) postcoordination Add Stem and/or Extension codes to form a cluster code which adds detail to the condition.
Specific anatomy - multiple selections are allowed [select] XA0828 Oesophagus – XA1180 Upper third of oesophagus – XA2BY3 Middle third of oesophagus – XA9CB6 Lower third of oesophagus – XA0N03 Cervical oesophagus – XA8JT3 Thoracic oesophagus – XA0TN5 Abdominal oesophagus – XA4YW8 Overlapping sites of oesophagus Has manifestation - multiple selections are allowed [select] ME24 Clinical manifestations of the digestive system – ME24.0 Digestive system abscess – ME24.1 Digestive system fistula – ME24.2 Digestive system obstruction – ME24.3 Digestive system perforation – ME24.4 Digestive system stenosis – ME24.5 Digestive system ulcer – ME24.6 Digestive system dilatation – ME24.7 Digestive system incarceration – ME24.8 Digestive system strangulation or gangrene – ME24.9 Gastrointestinal bleeding – ME24.A Other digestive system haemorrhage, not elsewhere classified – ME24.Y Other specified clinical manifestations of the digestive system –– ME24.30 Perforation of small intestine –– ME24.31 Perforation of large intestine –– ME24.35 Perforation of gallbladder or bile ducts –– ME24.3Y Digestive system perforation of other specified site –– ME24.3Z Digestive system perforation of unspecified site –– ME24.90 Acute gastrointestinal bleeding, not elsewhere classified –– ME24.91 Chronic gastrointestinal bleeding, not elsewhere classified –– ME24.9Z Gastrointestinal bleeding, unspecified –– ME24.A0 Obscure gastrointestinal bleeding –– ME24.A1 Haemorrhage of anus and rectum –– ME24.A2 Oesophageal haemorrhage –– ME24.A3 Haematochezia –– ME24.A4 Melaena –– ME24.A5 Haematemesis –– ME24.A6 Positive occult blood in stool Course - only one may be selected [select] XT5R Acute XT8W Chronic
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