ICD-10 Coding for Graham Patch Repair of Stomach Ulcer(90304-00, 30505-00)
Complete ICD-10-CM coding and documentation guide for Graham Patch Repair of Stomach Ulcer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Graham Patch Repair of Stomach Ulcer
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 90304-00 | Other repair of stomach (ICD-10-AM) | Use when repairing a perforated non-bleeding gastric ulcer with an omental patch. |
|
| 30505-00 | Control of bleeding peptic ulcer | Use when controlling a bleeding gastric ulcer without perforation. |
|
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: How is a Graham patch repair coded in ICD-10?
Essential facts and insights about Graham Patch Repair of Stomach Ulcer
Primary ICD-10-CM Codes for procedure repair stomach ulcer with graham patch
Decision Criteria
clinical Criteria
- Perforation confirmed by imaging or surgery
documentation Criteria
- Detailed operative note including suture and omental patch details
Applicable To
- Omental patch repair of perforated gastric ulcer
Excludes
- Bleeding gastric ulcer without perforation
Clinical Validation Requirements
- CT evidence of pneumoperitoneum
- Surgical findings of perforation
Code-Specific Risks
- Incorrectly coding a bleeding ulcer as non-bleeding
Coding Notes
- Ensure documentation specifies the ulcer is perforated and non-bleeding.
30505-00 - Control of bleeding peptic ulcer
Use when controlling a bleeding gastric ulcer without perforation.
Applicable To
- Bleeding gastric ulcer control
Excludes
- Non-bleeding perforated ulcers
Clinical Validation Requirements
- Documentation of active bleeding during surgery
Coding Notes
Ensure bleeding is documented as active during the procedure.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute gastric ulcer with perforation
K25.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Graham Patch Repair of Stomach Ulcer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 90304-00.
Impact
Clinical: Potential for missed postoperative complications., Regulatory: Non-compliance with surgical documentation standards., Financial: Risk of claim denials.
Mitigation Strategy
Standardize operative note templates, Educate surgical teams on documentation requirements
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify documentation for perforation and bleeding status before coding.
Impact
Incomplete documentation can lead to audit flags.
Mitigation Strategy
Implement comprehensive documentation checklists.
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 Graham Patch Repair of Stomach Ulcer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Graham Patch Repair of Stomach Ulcer
Use these documentation templates to ensure complete and accurate documentation for Graham Patch Repair of Stomach Ulcer. These templates include all required elements for proper coding and billing.
Open Graham Patch Repair
Specialty: General SurgeryRequired Elements
- Perforation size and location
- Suture type and technique
- Omental patch description
- Leak test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Graham Patch Repair of Stomach Ulcer? Ask your questions below.