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Thread: new coder needs dx

  1. #1

    Default new coder needs dx

    AAPC: Back to School
    Does anyone know how to code a finding of blood in the cul-de-sac during a lap cauterization of endometrosis? Any help would be appreciated. Thanks.

  2. #2

    Default ICD: Endometriosis /cul-de-sac(Douglas)-617.3

    I'll assign 617.3- Endometriosis / Cul-de-sac

    Per Physician's definitive DX, (endometriosis) it represents the 'stage'of endometriosis cul-de-sac spread,
    the most common site of spread ( peritoneum(pelvic)/parametrium).
    It implies endometriosis implant/lesion in the cul-de-sac. (blood in cul-de-sac= endometrial cells outside the uterus=aberrant uterine tissue )

    Ectopic/ endometrium/ culdesac- 617.3 (aberrant uterine tissue) Pls look up the definition given under 617.3.

    NOTE: Make sure there is NO surgical trauma.

    Last edited by msrd_081002; 12-19-2010 at 09:38 PM.

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