AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor

Injection of Glue into Enteric Fistula Tract

A 61-year-old female status post ileojejunal bypass with reversal and sleeve gastrectomy complicated by multiple enterocutaneous fistulas presents due to an enteric fistula that was treated on three prior occasions with fibrin glue. During her inpatient admission, she received a fibrin injection for her enterocutaneous fistula. Contrast material was injected and a fistulogram was performed demonstrating flow of contrast in the small bowel through a second hole in the skin. Injection of 3 mLs of n-Butyl cyanoacrylate glue into the fistula tract site was done with some glue entering the small bowel. A second injection was performed into the second hole with 1 mL of the glue. This filled the superior portion of the tract. Since the injection was performed into the fistula tract that led to the small bowel, what is the appropriate body part value and root operation? ...

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