LOG of ICD-9-CM, ICD-10-CM/PC, and DRG CODING UPDATES and REVISIONS to IQI DOCUMENTATION and SOFTWARE Through Version V2018 ICD10-CM/PCS (Non-Risk Adjusted)
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Association Between Gastric Myoelectric Activity Disturbances and Dyspeptic T Symptoms in Gastrointestinal Cancer Patients ⁎ Aneta L
Advances in Medical Sciences 64 (2019) 44–53 Contents lists available at ScienceDirect Advances in Medical Sciences journal homepage: www.elsevier.com/locate/advms Original research article Association between gastric myoelectric activity disturbances and dyspeptic T symptoms in gastrointestinal cancer patients ⁎ Aneta L. Zygulskaa, , Agata Furgalab, Krzysztof Krzemienieckia,c,1, Beata Wlodarczykb, Piotr Thorb a Department of Oncology, University Hospital in Cracow, Cracow, Poland b Department of Pathophysiology, Jagiellonian University Medical College, Cracow, Poland c Department of Oncology, Jagiellonian University Medical College, Cracow, Poland ARTICLE INFO ABSTRACT Keywords: Purpose: Dyspeptic symptoms present a severe problem in gastrointestinal (GI) cancer patients. The aim of the Gastrointestinal carcinoma study was to analyze an association between gastric myoelectric activity changes and dyspeptic symptoms in Gastric motility gastrointestinal cancer patients. Gastric myoelectric activity Material and Methods: The study included 80 patients (37 men and 43 women, mean age 61.2 ± 7.8 years) Electrogastrography diagnosed with GI tract malignancies: colon (group A), rectal (group B) and gastric cancers (group C). Gastric Dyspeptic symptoms myoelectric activity in a preprandial and postprandial state was determined by means of a 4-channel electro- gastrography. Autonomic nervous system was studied based on heart rate variability analysis. The results were compared with the data from healthy asymptomatic controls. Results: In a fasted state, GI cancer patients presented with lesser percentages of normogastria time (A:44.23 vs. B:46.5 vs. C:47.10 vs. Control:78.2%) and average percentage slow wave coupling (ACSWC) (A:47.1 vs. B:50.8 vs. C:47.2 vs. Control:74.9%), and with higher values of dominant power (A:12.8 vs. -
Hysteroscopy and Endometrial Ablation Using Novasure
Hysteroscopy and Endometrial Ablation Using Novasure What is a hysteroscopy and endometrial ablation using Novasure? This is a procedure where a doctor uses a thin tube with a tiny camera to look inside the uterus. There are no incisions. Saline solution is used to expand the uterus in order to look at the inside of the uterus. The Novasure device is then used to burn the lining of the uterus. When is this surgery used? To evaluate and or treat diseases of the uterus • Painful periods. • Heavy or irregular vaginal bleeding. How do I prepare for surgery? • Before surgery, a pre-op appointment will be scheduled with your doctor at their office or with a nurse practitioner or physician assistant at Domino Farms. • Depending on your health, we may ask you to see your primary doctor, a specialist, and/or an anesthesiologist to make sure you are healthy for surgery. • The lab work for your surgery must be done at least 3 days before surgery. • Some medications need to be stopped before the surgery. A list of medications will be provided at your pre-operative appointment. • Smoking can affect your surgery and recovery. Smokers may have difficulty breathing during the surgery and tend to heal more slowly after surgery. If you are a smoker, it is best to quit 6-8 weeks before surgery. If you are unable to stop smoking before surgery, your doctor can order a nicotine patch while you are in the hospital. Department of Obstetrics and Gynecology (734) 763-6295 - 1 - • You will be told at your pre-op visit whether you will need a bowel prep for your surgery and if you do, what type you will use. -
Laparoscopic Truncal Vagotomy and Gatrojejunostomy for Pyloric Stenosis
ORIGINAL ARTICLE pISSN 2234-778X •eISSN 2234-5248 J Minim Invasive Surg 2015;18(2):48-52 Journal of Minimally Invasive Surgery Laparoscopic Truncal Vagotomy and Gatrojejunostomy for Pyloric Stenosis Jung-Wook Suh, M.D.1, Ye Seob Jee, M.D., Ph.D.1,2 Department of Surgery, 1Dankook University Hospital, 2Dankook University School of Medicine, Cheonan, Korea Purpose: Peptic ulcer disease (PUD) remains one of the most prevalent gastrointestinal diseases and Received January 27, 2015 an important target for surgical treatment. Laparoscopy applies to most surgical procedures; however Revised 1st March 9, 2015 its use in elective peptic ulcer surgery, particularly in cases of pyloric stenosis, has not been popular. 2nd March 28, 2015 The aim of this study was to describe the role of laparoscopic surgery and an easily performed Accepted April 20, 2015 procedure for pyloric stenosis. We accordingly performed laparoscopic truncal vagotomy with gastrojejunostomy in 10 consecutive patients with pyloric stenosis. Corresponding author Ye Seob Jee Methods: Data were collected prospectively from all patients who underwent laparoscopic truncal Department of Surgery, Dankook vagotomy with gastrojejunostomy from August 2009 to May 2014 and reviewed retrospectively. University Hospital, Dankook Results: A total of 10 patients underwent laparoscopic trucal vagotomy with gastrojejunostomy for University School of Medicine, 119, peptic ulcer obstruction from August 2009 to May 2014 in ○○ university hospital. The mean age was Dandae-ro, Dongnam-gu, Cheonan 62.6 (±16.4) years old and mean BMI was 19.3 (±2.5) kg/m2. There were no conversions to open 330-714, Korea surgery and no occurrence of intra-operative complications. -
Thoracoscopic Truncal Vagotomy Versus Surgical Revision of the Gastrojejunal Anastomosis for Recalcitrant Marginal Ulcers
Surgical Endoscopy (2019) 33:607–611 and Other Interventional Techniques https://doi.org/10.1007/s00464-018-6386-7 2018 SAGES ORAL DYNAMIC Thoracoscopic truncal vagotomy versus surgical revision of the gastrojejunal anastomosis for recalcitrant marginal ulcers Alicia Bonanno1 · Brandon Tieu2 · Elizabeth Dewey1 · Farah Husain3 Received: 1 May 2018 / Accepted: 10 August 2018 / Published online: 21 August 2018 © Springer Science+Business Media, LLC, part of Springer Nature 2018 Abstract Introduction Marginal ulcer is a common complication following Roux-en-Y gastric bypass with incidence rates between 1 and 16%. Most marginal ulcers resolve with medical management and lifestyle changes, but in the rare case of a non-healing marginal ulcer there are few treatment options. Revision of the gastrojejunal (GJ) anastomosis carries significant morbidity with complication rates ranging from 10 to 50%. Thoracoscopic truncal vagotomy (TTV) may be a safer alternative with decreased operative times. The purpose of this study is to evaluate the safety and effectiveness of TTV in comparison to GJ revision for treatment of recalcitrant marginal ulcers. Methods A retrospective chart review of patients who required surgical intervention for non-healing marginal ulcers was performed from 1 September 2012 to 1 September 2017. All underwent medical therapy along with lifestyle changes prior to intervention and had preoperative EGD that demonstrated a recalcitrant marginal ulcer. Revision of the GJ anastomosis or TTV was performed. Data collected included operative time, ulcer recurrence, morbidity rate, and mortality rate. Results Twenty patients were identified who underwent either GJ revision (n = 13) or TTV (n = 7). There were no 30-day mortalities in either group. -
Effects of Sleeve Gastrectomy Plus Trunk Vagotomy Compared with Sleeve Gastrectomy on Glucose Metabolism in Diabetic Rats
Submit a Manuscript: http://www.f6publishing.com World J Gastroenterol 2017 May 14; 23(18): 3269-3278 DOI: 10.3748/wjg.v23.i18.3269 ISSN 1007-9327 (print) ISSN 2219-2840 (online) ORIGINAL ARTICLE Basic Study Effects of sleeve gastrectomy plus trunk vagotomy compared with sleeve gastrectomy on glucose metabolism in diabetic rats Teng Liu, Ming-Wei Zhong, Yi Liu, Xin Huang, Yu-Gang Cheng, Ke-Xin Wang, Shao-Zhuang Liu, San-Yuan Hu Teng Liu, Ming-Wei Zhong, Xin Huang, Yu-Gang Cheng, reviewers. It is distributed in accordance with the Creative Ke-Xin Wang, Shao-Zhuang Liu, San-Yuan Hu, Department Commons Attribution Non Commercial (CC BY-NC 4.0) license, of General Surgery, Qilu Hospital of Shandong University, Jinan which permits others to distribute, remix, adapt, build upon this 250012, Shandong Province, China work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and Yi Liu, Health and Family Planning Commission of Shandong the use is non-commercial. See: http://creativecommons.org/ Provincial Medical Guidance Center, Jinan 250012, Shandong licenses/by-nc/4.0/ Province, China Manuscript source: Unsolicited manuscript Author contributions: Liu T, Liu SZ and Hu SY designed the study and wrote the manuscript; Liu T and Zhong MW instructed Correspondence to: San-Yuan Hu, Professor, Department of on the whole study and prepared the figures; Liu Y and Wang KX General Surgery, Qilu Hospital of Shandong University, No. 107, collected and analyzed the data; Liu T, Huang X and Cheng YG Wenhua Xi Road, Jinan 250012, Shandong Province, performed the operations and performed the observational study; China. -
A Matched Cohort Analysis of Single Anastomosis Loop Duodenal Switch Versus Roux-En-Y Gastric Bypass with 18-Month Follow-Up - Springer
A matched cohort analysis of single anastomosis loop duodenal switch versus Roux-en-Y gastric bypass with 18-month follow-up - Springer Search Submit Article Surgical Endoscopy pp 1-7 First online: 22 December 2015 A matched cohort analysis of single anastomosis loop duodenal switch versus Roux-en-Y gastric bypass with 18-month follow-up Austin Cottam, Daniel Cottam , Walter Medlin, Christina Richards, Samuel Cottam, Hinali Zaveri, Amit Surve 10.1007/s00464-015-4707-7 Copyright information Abstract Background The Roux-en-Y gastric bypass (GBP) has been considered the gold standard for many years. The loop duodenal switch (LDS) is a relatively new procedure that simplifies the complexity of the duodenal switch (BPDDS) by making it a single anastomosis procedure while at the same time giving it more intestinal absorption to reduce the rates of malnutrition associated with traditional BPDDS. This paper seeks to compare the 18-month weight loss outcomes and complications of the more standard GBP with the newer LDS in a single US center. Methods A retrospective matched cohort was analyzed on 108 patients who had either GBP (54 patients) or LDS (54 patients). Regression analysis was used to compare weight loss outcomes as measured by BMI and weight loss percentages. Complications gathered included bleeds, reoperations, diagnostic or therapeutic endoscopy (EGD), ulcers and chronic nausea. Results GBP and LDS have statistically similar weight loss at 18 months (39.6 vs 41 % weight loss, respectively). However, there were significantly more nausea complaints (26 vs 5), diagnostic endoscopies (EGD) (21 vs 3) and ulcers (6 vs 0) with the GBP than the LDS. -
Biliopancreatic Diversion with a Duodenal Switch
Obesity Surgeuy, 8, 267-282 Biliopancreatic Diversion with a Duodenal Switch Douglas S. Hess MD, FACS; Douglas W. Hess MD Wood County Hospital, Bowling Green, OH, USA Background: This paper evaluates biliopancreatic BPD without some of the associated problems. diversion combined with the duodenal switch, form- This operation is now used by us for all our ing a hybrid procedure which is a combination of bariatric patients, both in primary surgical proce- restriction and malabsorption. Methods: The evaluation is of the first 440 patients dures and reoperations. undergoing this procedure who had had no previous The difficulty of establishing an operation that bariatric surgery. The mean starting weight was has both long- and short-term success is well 183 kg, with 41% of our patients considered super known. Bariatric surgery is either restrictive or morbidly obese (BMI > 50). malabsorptive in nature, each with its own ad- Results: There was an average maximum weight loss of 80% excess weight by 24 months post- vantages, disadvantages and complications. While operation; this continued at a 70% level for 8 years. trying to find a procedure that would produce Major complications were found in almost 9% of the better long-term results and fewer failures, i.e. cases. There were two perioperative deaths, one regain of weight, we began to look at the from pulmonary embolism and one from acute Scopinaro BPD.l First of all we considered it pulmonary obstruction. There were 36 type II dia- betics, all of whom have discontinued medication only for reoperations on failed restrictive proce- following the surgery. -
Endometrial Ablation
PATIENT INFORMATION A publication of Jackson-Madison County General Hospital Surgical Services Endometrial Ablation As an alternative to hysterectomy, your doctor may recommend a procedure called an endometrial ablation. The endometrium is the lining of the uterus. The word ablation means destroy. This surgery eliminates the endometrial lining of the uterus. It is often used in cases of very heavy menstrual bleeding. Because this surgery causes a decrease in the chances of becoming pregnant, it is not recommended for women who still want to have children. The advantage of this procedure is that your recovery time is usually faster than with hysterectomy. Your doctor will use general anesthesia or spinal anesthesia to perform the procedure. He will talk with you about the type of anesthesia that will be used in your case. This surgery can be done in an outpatient setting. During the procedure, a narrow, lighted viewing tube (the size of a pencil) called a hysteroscope is inserted through the vagina and cervix into the uterus. A tiny camera that is attached shows the uterus on a monitor. There are several ways the endometrial lining can be ablated (destroyed). Those methods include laser, radio waves, electrical current, freezing, hot water (balloon), or heated loop. The instruments are inserted through the tube to perform the ablation. Your doctor may also do a laparoscopy at the same time to be sure there are not other conditions that might require treatment or further surgery. In a laparoscopy, a small, lighted scope is used to look at the other organs in the pelvis. -
Gastroenterostomy and Vagotomy for Chronic Duodenal Ulcer
Gut, 1969, 10, 366-374 Gut: first published as 10.1136/gut.10.5.366 on 1 May 1969. Downloaded from Gastroenterostomy and vagotomy for chronic duodenal ulcer A. W. DELLIPIANI, I. B. MACLEOD1, J. W. W. THOMSON, AND A. A. SHIVAS From the Departments of Therapeutics, Clinical Surgery, and Pathology, The University ofEdinburgh The number of operative procedures currently in Kingdom answered a postal questionnaire. Eight had vogue in the management of chronic duodenal ulcer died since operation, and three could not be traced. The indicates that none has yet achieved definitive status. patients were questioned particularly with regard to Until recent years, partial gastrectomy was the eating capacity, dumping symptoms, vomiting, ulcer-type dyspepsia, diarrhoea or other change in bowel habit, and favoured operation, but an increasing awareness of a clinical assessment was made based on a modified its significant operative mortality and its metabolic Visick scale. The mean time since operation was 6-9 consequences, along with Dragstedt and Owen's years. demonstration of the effectiveness of vagotomy in Thirty-five patients from this group were admitted to reducing acid secretion (1943), has resulted in the hospital for a full investigation of gastrointestinal and widespread use of vagotomy and gastric drainage. related function two to seven years following their The success of duodenal ulcer surgery cannot be operation. Most were volunteers, but some were selected judged only on low stomal (or recurrent) ulceration because of definite complaints. There were more females rates; the other sequelae of gastric operations must than males (21 females and 14 males). The following be considered. -
About Liver Resection
ABOUT LIVER RESECTION Surgical removal of part of the liver A guide for patients and relatives This booklet has been written to provide information about the operation called a liver resection. This is a major operation and involves removal of a part of the liver. Information about the benefits and risks will help you make an informed decision about the operation. It is important to remember that each person is different. This booklet cannot replace the professional advice and expertise of a doctor who is familiar with your condition. If you have questions that this booklet does not cover, please discuss them with your surgeon or cancer nurse specialist. page 2 What is the liver? The liver is a large organ which lies on the right side of the upper abdomen, under the rib cage. It has many functions related to body metabolism (chemical processes within the body) and is very important to health. One of its functions is to produce yellow-green fluid called bile. Bile flows down a tube called the bile duct to the intestine, where it mixes with food and helps digestion. The gall bladder is a small sac attached to the side of the bile duct. The gall bladder stores excess bile and pushes it down the bile duct in to the intestine, ready for when it is needed for digestion. The liver has right and left lobes (sections). An artery (hepatic artery) and a vein (portal vein) carry blood to the liver. Blood from the liver flows through the hepatic veins back to the heart. -
Endometrial Ablation
AQ The American College of Obstetricians and Gynecologists FREQUENTLY ASKED QUESTIONS FAQ134 fSPECIAL PROCEDURES Endometrial Ablation • What is endometrial ablation? • Why is endometrial ablation done? • Who should not have endometrial ablation? • Can I still get pregnant after having endometrial ablation? • What techniques are used to perform endometrial ablation? • What should I expect after the procedure? • What are the risks associated with endometrial ablation? • Glossary What is endometrial ablation? Endometrial ablation destroys a thin layer of the lining of the uterus and stops the menstrual flow in many women. In some women, menstrual bleeding does not stop but is reduced to normal or lighter levels. If ablation does not control heavy bleeding, further treatment or surgery may be required. Why is endometrial ablation done? Endometrial ablation is used to treat many causes of heavy bleeding. In most cases, women with heavy bleeding are treated first with medication. If heavy bleeding cannot be controlled with medication, endometrial ablation may be used. Who should not have endometrial ablation? Endometrial ablation should not be done in women past menopause. It is not recommended for women with certain medical conditions, including the following: • Disorders of the uterus or endometrium • Endometrial hyperplasia • Cancer of the uterus • Recent pregnancy • Current or recent infection of the uterus Can I still get pregnant after having endometrial ablation? Pregnancy is not likely after ablation, but it can happen. If it does, the risk of miscarriage and other problems are greatly increased. If a woman still wants to become pregnant, she should not have this procedure. Women who have endometrial ablation should use birth control until after menopause. -
Association of Oral Anticoagulants and Proton Pump Inhibitor Cotherapy with Hospitalization for Upper Gastrointestinal Tract Bleeding
Supplementary Online Content Ray WA, Chung CP, Murray KT, et al. Association of oral anticoagulants and proton pump inhibitor cotherapy with hospitalization for upper gastrointestinal tract bleeding. JAMA. doi:10.1001/jama.2018.17242 eAppendix. PPI Co-therapy and Anticoagulant-Related UGI Bleeds This supplementary material has been provided by the authors to give readers additional information about their work. Downloaded From: https://jamanetwork.com/ on 10/02/2021 Appendix: PPI Co-therapy and Anticoagulant-Related UGI Bleeds Table 1A Exclusions: end-stage renal disease Diagnosis or procedure code for dialysis or end-stage renal disease outside of the hospital 28521 – anemia in ckd 5855 – Stage V , ckd 5856 – end stage renal disease V451 – Renal dialysis status V560 – Extracorporeal dialysis V561 – fitting & adjustment of extracorporeal dialysis catheter 99673 – complications due to renal dialysis CPT-4 Procedure Codes 36825 arteriovenous fistula autogenous gr 36830 creation of arteriovenous fistula; 36831 thrombectomy, arteriovenous fistula without revision, autogenous or 36832 revision of an arteriovenous fistula, with or without thrombectomy, 36833 revision, arteriovenous fistula; with thrombectomy, autogenous or nonaut 36834 plastic repair of arteriovenous aneurysm (separate procedure) 36835 insertion of thomas shunt 36838 distal revascularization & interval ligation, upper extremity 36840 insertion mandril 36845 anastomosis mandril 36860 cannula declotting; 36861 cannula declotting; 36870 thrombectomy, percutaneous, arteriovenous