Health Information Management

Coder chat

JustCoding News: Inpatient, April 14, 2010

Want to receive articles like this one in your inbox? Subscribe to JustCoding News: Inpatient!

A patient who has had multiple abdominal surgeries presents with a small bowel obstruction. The physician pursues surgery, and findings indicate multiple adhesions with an internal hernia with bowel obstruction. The physician also finds that a portion of bowel is infarcted. The physician performs adhesiolysis and resects necrotic bowel. Necrosis is found on the pathology report, but no gangrene is documented. It appears that the internal hernia and the adhesions are the causes of the small bowel obstruction. What would you recommend coding as the primary diagnosis and secondary diagnosis for this case?

Click here to share your thoughts.



Want to receive articles like this one in your inbox? Subscribe to JustCoding News: Inpatient!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular