AHA Coding Clinic® for ICD-9 - 2009 Issue 4; Volume 3 New/Revised Codes

Colonic Stents

Effective October 1, 2009, a unique code has been created to identify the endoscopic insertion of a colonic stent (46.86). A colonic stent insertion via colonoscopy may be used as an alternative to emergency surgery to treat patients with acute malignant colonic obstruction. The stents can be placed radiographically (fluoroscopically), endoscopically, or with a combined technique. Over the last few years, the use of self-expandable metal stents (SEMS) for the relief of malignant or benign colonic obstruction as an alternative to bridge-to-surgery has become more acceptable. Prior to this change, insertion of colonic stent was assigned to code...

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