1. Travels in the
Interior:
Journey Down Your
Digestive Tract
Patricia L. Raymond MD FACP FACG
Rx For Sanity
Humana Coding Conference October 13, 2010
Louisville KY
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3. Objectives
For each segment of the
gastrointestinal tract:
• Anatomy
• Pathology
• Testing capabilities
• Q about your ‘friend’

4. • Oropharynx
• Esophagus
• Stomach
• =======
• Liver
• Gallbladder
• Pancreas
• =======
• Small intestine
• Colon

5. Coding:
The Dewey
Decimal System
of Medicine
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6. Codes I love to use
301.3
Quarrelsome

7. Codes I’d love to use someday
E827
Collision with animal drawn
vehicle, unattended
E845.0
Accident, spacecraft occupant

8. Travels in the Interior
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9. Fantastic Voyage, 1966

13. Travels in the Interior or
The Wonderful Adventures of Luke and Belinda
• Luke Theophilus Courtney, London 1887

15. Oropharynx
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17. Esophagus
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20. Stomach
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23. Symptoms coded
• Nausea alone
• Nausea with vomiting
• Dyspepsia
• Early satiety

24. Tests for esophagus, stomach
• EGD
• With biopsy
• With aspiration
• bile salt collection
• culture
• With control bleeding
• With banding
• With dilation
• Balloon
• Savoury
• Maloney

25. Tests for esophagus, stomach
• EGD
• With laser ablation lesion
• With polypectomy
• With PEG
• With foreign body removal
• Esophageal manometry
• 24 hr pH study
• BRAVO pH study

26. ?

27. Liver
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29. Gallbladder
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31. Pancreas
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33. Tests for liver, gallbladder,
pancreas
• Liver biopsy
• ERCP
• With sphicterotomy
• With stone extraction
• With stent
• With biopsy, brushing

34. ?

35. Small bowel
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38. Colon
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40. Tests for small bowel, colon
• M2A capsule endoscopy
• Colonoscopy
• With biopsy
• With polypectomy
• With control of bleeding
• With foreign body removal
• Infusion therapy

41. ?

42. Splash down!
Anorectal region
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43. Tests for anorectal region
• Anoscopy
• Anal manometry
• Hemorrhoid banding

44. ?

46. ?