tci General Surgery Coding Alert - 2022 Issue Q1

Reader Questions: Decipher Details for Ulcer Dx

Question: The surgeon performed an EGD with biopsy for a patient with burning, sharp pain in the upper abdomen. When coding the case after receiving the pathology report and the final diagnosis of a duodenal ulcer, what is the appropriate diagnosis code(s)? Iowa Subscriber Answer: To select the correct code for a duodenal ulcer, you need to ascertain from the medical record several details about the case. For instance, you should identify whether the ulcer is chronic or acute, and whether an obstruction, hemorrhage, or perforation was present. Notice that you must list a code from the K26 (Duodenal...

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