AHA Coding Clinic® for ICD-9 - 2013 Quarter 2; Ask the Editor
Ladd's Operation for Repair of Malrotation of Intestine
The patient presented with small bowel obstruction secondary to malrotation and underwent repair of malrotation and lysis of Ladd’s bands. The Ladd’s surgery involves incision into the peritoneum, manipulation of the bowel, lysis of adhesions and appendectomy. In ICD-9-CM Index to procedures “Ladd operation” is indexed to code 54.95 , Incision of peritoneum, however, this code assignment does not seem to capture the complete surgery. Should only code 54.95 be assigned? What are the appropriate procedure code assignments for this case? ...
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Article Overview
This premium article explains the coding focus for a surgical case involving malrotation of the intestine and Ladd’s operation. It is aimed at medical coders, CDI specialists, auditors, and revenue cycle staff who need to understand how the procedure is represented in ICD-9-CM procedure coding and how the indexed term relates to the broader operative work described in the case. The article covers the operative scenario, the indexed procedure reference, and the procedure code assignments discussed by the source.
Why This Topic Matters
Accurate procedure coding for complex abdominal surgery affects data integrity, reporting, and reimbursement-related workflows. Articles like this help coding professionals recognize when a single indexed procedure term may not fully capture the operative services discussed in the source material.
What You Will Learn
- How the article frames a Ladd’s operation in the context of intestinal malrotation.
- How the source connects the operative scenario to ICD-9-CM procedure indexing.
- What type of procedure coding questions the article addresses for this surgical case.
- How the article discusses procedure code assignment for the case.
Who Should Read This
- Medical coders
- Coding auditors
- CDI specialists
- Revenue cycle professionals
- Clinical documentation staff
Codes Discussed
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