tci General Surgery Coding Alert - 2011 Issue 8

Reader Question: V72.83 Often Won't Stand Alone

Question: Our surgeon performs a pre-bypass surgery EGD and notes acute esophagitis. What ICD-9 code should we list for the claim?Virginia SubscriberAnswer: Because you must always report the most specific diagnosis, you should list the code for the esophagogastroduodenoscopy (EGD) findings: 530.12 (Acute esophagitis).But you should also list ICD-9 codes to show the reason for the EGD as a pre-op procedure for gastric bypass surgery. Submit the following codes to document the reason for the test:278.01 -- Morbid obesityV85.xx -- Body mass index ...V72.83 -- Other specified preoperative examination.FYI: Many payers won't...

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