AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Quarter 3; Ask the Editor
Insertion of Gastrostomy Tube
This patient is admitted for replacement of a gastrostomy tube. The tube was malfunctioning (continuously falling out) and was ultimately left out over a period of time. The gastrostomy stoma essentially closed off making it difficult to pass the feeding tube. The stoma was dilated to reopen and to allow insertion of the feeding tube. How is dilation of a gastrostomy stoma with the insertion of a gastrostomy feeding tube coded in ICD-10-PCS? Is the root operation “Repair” used as none of the other root operations appear to be appropriate? ...
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Article Overview
This premium article addresses an ICD-10-PCS coding question involving replacement of a gastrostomy tube when the stoma has narrowed and must be reopened enough to permit tube placement. It is aimed at coding professionals who need to distinguish among procedure classification options for gastrointestinal tube management and understand how the procedure is reported in ICD-10-PCS.
Why This Topic Matters
Gastrostomy tube replacement cases can be coded incorrectly when the stoma has partially closed or requires dilation before the tube is reinserted. This article helps readers understand the relevant ICD-10-PCS framework for reporting the procedure as described in the case.
What You Will Learn
- How a gastrostomy tube replacement scenario is approached in ICD-10-PCS
- How stoma narrowing and reopening are addressed in procedure classification
- How to recognize the general procedural category involved in this type of case
- What factors are considered when choosing the ICD-10-PCS code for this scenario
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement specialists
- Revenue cycle professionals
Codes Discussed
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