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Wiki pathology coding ICD 9

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msawyer

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I need to know how would you code these pathology reports:THis is from September 2015 need ICD 9 code

1. Body of stomach biospy showing moderate acute and chronic inflammation with the presenece of intestinal metaplasia consistent with Atrophic gastritis . Theres is no evidence of helicobacter organisms (see comment)

comment:
the above body of stomach biopsy will be submitted for immunohistochemical prognostic markers to rule out any dysplasia , and separate report to follow

second report:
the findings are consistent with intestinal metaplasia of gastric mucosa with increased proliferative activity. No other adverse prognositc factors are present . Endoscopic surveillance can continue on a routine basis . review of H & E section does not show dysplasia
 
I would code for the intestinal metaplasia of gastric mucosa.

If you go to the ICD9 index to "metaplasia" you see this:

Metaplasia
intestinal, of gastric mucosa 537.89
 
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