ICD-10 Coding for Gastrectomy(0DT60ZZ, 0DT70ZZ)
Complete ICD-10-CM coding and documentation guide for Gastrectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gastrectomy
0DT60ZZ-0DT70ZZPrimary Range
ICD-10-PCS codes for gastrectomy procedures
These codes cover the range of surgical procedures for partial and total gastrectomy, including different surgical approaches.
ICD-10-CM codes for malignant neoplasm of stomach
These codes are used when gastrectomy is performed due to gastric cancer.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 0DT60ZZ | Resection of stomach, open approach | Use for open partial gastrectomy procedures. |
|
| 0DT70ZZ | Resection of stomach, total, open approach | Use for open total gastrectomy procedures. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for partial gastrectomy
Essential facts and insights about Gastrectomy
Primary ICD-10-CM Codes for gastrectomy
Decision Criteria
clinical Criteria
- Confirmation of partial resection via open approach
Applicable To
- Partial gastrectomy
Excludes
- Total gastrectomy
Clinical Validation Requirements
- Operative report confirming open approach
- Documentation of resection site and extent
Code-Specific Risks
- Incorrectly coding as total gastrectomy
Coding Notes
- Ensure documentation specifies the approach and extent of resection.
0DT70ZZ - Resection of stomach, total, open approach
Use for open total gastrectomy procedures.
Applicable To
- Total gastrectomy
Excludes
- Partial gastrectomy
Clinical Validation Requirements
- Operative report confirming total stomach removal
- Documentation of reconstruction method
Coding Notes
Ensure documentation specifies the approach and extent of resection.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Bariatric surgery status
Z98.84Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gastrectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0DT60ZZ.
Impact
Clinical: Impacts treatment planning and follow-up care., Regulatory: May lead to compliance issues during audits., Financial: Can result in claim denials or incorrect reimbursement.
Mitigation Strategy
Ensure detailed documentation of the surgical procedure., Include all relevant clinical findings and decisions.
Impact
Reimbursement: Incorrect coding can lead to underpayment or overpayment., Compliance: Misrepresentation of procedure can lead to audits., Data Quality: Affects accuracy of surgical data reporting.
Mitigation Strategy
Verify operative notes for extent of resection and approach.
Impact
Risk of coding errors due to lack of detailed documentation.
Mitigation Strategy
Implement thorough documentation practices and regular coding audits.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Gastrectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gastrectomy
Use these documentation templates to ensure complete and accurate documentation for Gastrectomy. These templates include all required elements for proper coding and billing.
Partial Gastrectomy
Specialty: SurgeryRequired Elements
- Procedure type
- Approach
- Extent of resection
- Reconstruction method
- Pathology findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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