Gastroschisis and Ileus

sfuchser

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Nashville
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Any thoughts on coding ileus after a neonate had gastroschisis repair?
Would you choose transitory, newborn for the ileus 777.4 or postoperative 997.49 + 560.1? Do you drop the gastroschisis and just use code the ileus? Or code all 3 - transitory newborn ileus, gastroschisis (congenital) 756.73, and postoperative V45.89?
Thanks for any insight.
 

Torilinne

Networker
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Denver CO
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I'd stick with coding the 997.49 and 560.1. I probably wouldn't code the additional post-operative V code as that seems a little redundant as you've already identified the post-op status by using the 997.49. The gastroschisis was treated and "removed" with the surgery so may not be necessary to use that code either.

Just my thoughts.....

Torilinne
SCC, CPC, CGIC
 
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