AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask The Editor

Ileoanal Anastomotic Stricture

A 17-year-old male with a history of ulcerative colitis, status post colectomy with rectal mucosectomy and ileoanal J-pouch reconstruction, is diagnosed with ileoanal anastomotic stricture. Ano-proctoscopy demonstrated stricture proximal to the ileoanal anastomosis. The stricture was serially dilated. We assigned code K91.858, Other complications of intestinal pouch, for ileoanal anastomotic stricture. Are additional codes assigned to specify the complication? What is the correct code assignment for the ileoanal anastomotic stricture? ...

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