Postoperative ileus — ACDIS Forums Looking for input on this oh, so fun subject-- I thought and felt that 3M surgical complications supported that ILEUS AFTER SURGERY was not automatically a complication I thought the relation ship per coding guidelines had to be stated by the provider and if there was a question to query I have a case that provider wrote "expected ileus" considering the "massive paradiaphramtic hernia" I
Colostomy- PCS Coding — ACDIS Forums In ICD-10-PCS, the root operation "Bypass," is defined as altering the route of passage of the contents of a tubular body part Bypass is coded when the objective of the procedure is to reroute the contents of a tubular body part
Query for postop complication - ACDIS Forums The coders insistence that this should "always" be a post-op complication simply based on the available ICD 10 indexing is frankly, why there is often criticisms hurled at the coding profession from the RN community because the argument that "hematoma is 100% always a complication" is silly if you really think about it
sypettit — ACDIS Forums About Username sypettit Joined January 2024 Visits 6 Last Active October 2025 Roles Member, Moderator Activity Discussions Comments
traumatic intracranial bleed and brain compression herniation The Coding Clinic states in a nutshell that if edema or hernia ARE documented with an intrinsic disease, we may code the edema or hernia The particular Coding Clinic does not provide any info re: traumatic brain injury A coder ALWAYS first determines if the process is traumatic versus a stroke or AVM and then proceeds forward
Ischemic bowel? Help! — ACDIS Forums He is slowly progressing, up walking, etc On day 10 in the hospital he has an acute event Abdominal distinction, vomits, intubated, etc he has an ischemic bowel, they do an ex lap and try to salvage The bowel is necrotic and he dies a day later after family decides to stop pressures Cause of death is ischemic bowel
Physicians please weigh in-Laterality of Hiatal Hernia Repair in ICD-10 Hiatal hernia is K44 with numbers for with or without gangrene or obstruction There is no right or left to be coded Leave the docs alone with hiatal hernia Congenital diaphragmatic hernias (Morgagni or Bochdalek Q79 0) can be right or left but there is no ICD-10 code for right or left with these either Who is telling you to get laterality for diaphragmatic hernias? There is no bilateral in
Lysis of Adhesions - ACDIS Forums Our surgeon is concerned that a chart failed chemical VTE prophylaxis on an open hernia operation because lysis of adhesions was coded as the principal procedure based only on the OR dictation which listed lysis of adhesions as one of the postop diagnoses and also included 'thickened adhesions' in the body of the report
Respiratory distress of newborns and newborn respiratory failure P22. 0 . . . We just became aware of the new coding clinic regarding the assignment of RDS and newborn respiratory failure: ICD-10-CM PCS Coding Clinic, Second Quarter ICD-10 2019 Page: 29 Effective with discharges: June 21, 2019 There is an excludes 1 note that respiratory failure and RDS cannot be documented together Because there was no coding direction as to which condition could or had to be reported
cdundas — ACDIS Forums About Username cdundas Joined September 2018 Visits 51 Last Active November 2022 Roles Member Activity Discussions Comments