Complication at J-tube site
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.
Kate Sammons, RN, BS, ACM, CCDS
Northwest Community Hospital