Complicated Gastrostomy
Ok... so here's a mess:
A patient once had a gastrostomy. This gastrostomy had a "complication" that caused the contents to spill into her peritoneal cavity, causing septic shock.
At Hospital A, she had extensive surgery to have the gastroscopy removed and the surrounding area repaired.
At Hospital B, she was treated for Critical Illness Myopathy and had a EGD performed to find gastritis.
According to the nurse, she is caring for the abdominal wound from Hospital A. At this point, I don't know how to code it. When recovering from other complications, one would normally code the complication with the letter "D" to capture recovery. Being that the code for a "Gastrostomy Complication" is 'K94.23' - I don't have that option.
Do I capture the abdominal wound with "Aftercare following digestive surgery"??
A patient once had a gastrostomy. This gastrostomy had a "complication" that caused the contents to spill into her peritoneal cavity, causing septic shock.
At Hospital A, she had extensive surgery to have the gastroscopy removed and the surrounding area repaired.
At Hospital B, she was treated for Critical Illness Myopathy and had a EGD performed to find gastritis.
According to the nurse, she is caring for the abdominal wound from Hospital A. At this point, I don't know how to code it. When recovering from other complications, one would normally code the complication with the letter "D" to capture recovery. Being that the code for a "Gastrostomy Complication" is 'K94.23' - I don't have that option.
Do I capture the abdominal wound with "Aftercare following digestive surgery"??
Comments
Lisa Sharpe, HCS-D
Coding Specialist
Sanford Bemidji HomeCare and Hospice
3201 Pine Ridge Ave NW RT# 10800
Bemidji MN 56601
Phone 218-333-5764 Fax 218-333-6017
lisa.sharpe@sanfordhealth.org