AHA Coding Clinic® for ICD-9 - 2002 Second Quarter

Q & A

What is the correct principal diagnosis code when a patient is admitted for a hematemesis, which is found to be due to a gastric varix that is caused by alcoholic cirrhosis/hepatitis? The patient also had esophageal varices without active bleeding. Creation of transjugular intrahepatic portosystemic shunt (TIPS) was carried out. Would code 456.8, Varices of other specified sites, be assigned as the principal diagnosis? Or, should the cirrhosis/hepatitis be assigned as the principal diagnosis following the coding logic for esophageal varix? ...

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