AHA Coding Clinic® for ICD-9 - 2012 Issue 1; Ask the Editor

Postsurgical Ileus

The patient who underwent surgical repair of small bowel obstruction one week ago is now admitted for treatment of an ileus with vomiting. The patient previously had lysis of adhesions secondary to small bowel obstruction. Would it be appropriate to assign code 997.49, Digestive system complication, Other digestive system complications, as the principal diagnosis, or must the provider explicitly document “post-operative ileus”? ...

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