tci General Surgery Coding Alert - 2013 Issue 10

ICD-10: Expect One-to-One Crosswalk for Gastrostomy Encounter

Z43.1 can be your primary diagnosis. When your general surgeon sees a patient for removal or reinsertion of an existing gastrostomy (G) tube, you should currently report V55.1 (Attention to gastrostomy) as the reason for the encounter. Background: Patients typically have a G tube to provide nutrition or medication because the patient can’t swallow liquids or food normally. If the tube becomes clogged or dislodged, your surgeon might need to modify the tube to get it functioning again. ICD difference: When ICD-9-CM shifts to ICD-10 on Oct. 1, 2014, you can’t report V55.1 anymore...

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