Sunday, January 29, 2012

Coding Scenarios-Small Bowel Obstruction

Scenario #1: Patient came in with abdominal pain, nausea and vomiting. CT scan of the abdomen revealed small bowel obstruction due to metastatic neuroendocrine tumor. Neuroendocrine tumor of sigmoid colon has metastasized to peritoneum, liver and ribs. Patient was treated for small bowel obstruction and was discharged to home to follow up with his primary care provider.

A. 560.9, 153.3, 197.7, 197.6, and 198.9
B. 560.9, 209.16, 209.74, 209.72, 209.73
C. 153.3, 560.9, 197.7, 197.6, and 198.9
D. 209.74, 560.9, 209.72, 209.73, and 209.16



Scenario #2: Patient came in with abdominal pain and CT scan of the abdomen revealed very dense adhesions causing the small bowel obstruction. Laproscopic lysis of adhesions was done. Postop course was uneventful and the patient was discharged home.

A. 560.9, 54.59
B. 560.81, 54.59
C. 560.81, 54.51
D. 560.9, 54.51



Answers:
Scenario #1: D
Scenario #2: C

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