Complication at J-tube site

ksammonsksammons
in Clinical & Coding

Need some advice on how to code a complication at J-tube site.  Patient had J-tube removed in MD's office (after having a Whipple).  Went home and started to experience fatigue and breathing heavier and reddish BMs.  Admit to hospital, EGD showed significant edema, ulcerations and evidence for recent bleeding at site of j-tube entry into the efferent limb.  This area was injected with Epi.  I have it coded to T85838A  Hemorrhage due to other internal prosthetic device, implant or graft.  Coder has it to K9411 Enterostomy hemorrhage.  Any thoughts on which is correct?  I do have a query to clarify if j-tube is the direct cause of bleeding vs surgical process post Whipple.


Thanks,

Kate Sammons, RN, BS, ACM, CCDS

Northwest Community Hospital

ksammons@nch.org

Comments

  • ksammonsksammons

    Just an update for anyone who read my question and was stumped.  I queried to confirm cause of limb bleeding.  Confirmed it was d/t device (j--tube), hence ended up coding to hemorrhage d/t device.


    Kate Sammons, RN, BS, ACM, CCDS

    Northwest Community Hospital

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