AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 3; Ask the Editor

Gastrojejunal Anastomotic Ulceration

A 72-year-old patient with a surgical history of gastric bypass surgery presented for an esophagogastroduodenoscopy (EGD) due to gastric bleeding and melena. The patient was diagnosed with a large cratered anastomotic ulcer, which was documented as the likely cause of the bleeding. Is it appropriate to report an ulcer at the anastomotic site as a complication of the patient’s previous gastric bypass surgery? What are the appropriate diagnosis codes for anastomotic ulcer in this patient? ...

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