AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 3; Ask the Editor

Bariatric Surgery for Morbid Obesity due to Metabolic Syndrome

The patient presented for elective laparoscopic sleeve gastrectomy. The provider documented in the discharge summary, “Clinically severe obesity (BMI 35.67) and metabolic syndrome,” as the reason for admission. The instructional note at code E88.81, Metabolic syndrome, states “Use additional codes for associated manifestations, such as: obesity (E66.1-).” Would the note apply when the reason for admission is bariatric surgery due to severe obesity? In this case, what condition is sequenced as principal diagnosis, metabolic syndrome versus morbid obesity? ...

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