CHAPTER 20: DISEASES OF THE DIGESTIVE SYSTEM
[Pages:3]CHAPTER 20: DISEASES OF THE DIGESTIVE SYSTEM
Exercise 20.1
1. Acute gastric ulcer with massive gastrointestinal hemorrhage Exploratory laparotomy with gastric resection , pylorus, with end-to-end anastomosis
K25.0 0DT70ZZ
2. Duodenal ulcer , with perforation and hemorrhage
K26.6
3. Penetrating gastric ulcer Open resection of esophageal junction (subtotal gastrectomy) with esophageal anastomosis Vagotomy
K25.5 0DT40ZZ
008Q0ZZ
4. Bleeding gastric ulcer
K25.4
5. Gastrointestinal ulcerative mucositis due to high-dose chemotherapy for multiple myeloma, subsequent encounter
K92.81
T45.1x5D C90.00
6. Hemorrhage from Dieulafoy lesion of the duodenum Esophagogastroduodenoscopy with placement of clips to control bleeding
K31.82 0DQ98ZZ
7. Clogged feeding jejunostomy. Change of feeding jejunostomy catheter K94.13
Malfunction
0D2DXUZ
Exercise 20.2 (numbers 1-5)
1. Acute cholecystitis with calculus of gallbladder and bile duct Total laparoscopic cholecystectomy
K80.62 0FT44ZZ
2. Chronic cholecystitis with calculus in common duct Total open cholecystectomy Open common bile duct exploration with removal of common bile duct
K80.44 0FT40ZZ 0FC90ZZ
stone Intraoperative cholangiogram (gallbladder and bile ducts with high osmolar contrast) Incidental open appendectomy
3. Biliary obstruction , extrahepatic
4. Cholecystitis , acute and chronic, with cholesterolosis Total cholecystectomy
5. Acute cholecystitis with choledocholithiasis
BF030ZZ 0DTJ0ZZ
K83.1 K81.2 0FT40ZZ K80.42
Exercise 20.3 (numbers 1-5)
1. Right direct inguinal hernia and left indirect sliding inguinal hernia Open repair of bilateral inguinal hernias
2. Incarcerated left inguinal hernia Laparoscopic left inguinal herniorrhaphy with mesh prosthesis
3. Recurrent left inguinal hernia Percutaneous repair of inguinal hernia, left
4. Gangrenous umbilical hernia Open repair of umbilical hernia
5. Strangulated umbilical hernia Laparoscopic repair of umbilical hernia with mesh prosthesis
K40.20 0YQA0ZZ
K40.30 0YU64JZ
K40.91 0YQ63ZZ
K42.1 0WQF0ZZ
K42.0 0WUF4JZ
Exercise 20.4 (numbers 1-5)
1. Acute ruptured appendicitis with postoperative intestinal obstruction Open appendectomy
K35.2 K91.3 0DTJ0ZZ
2. Acute hepatitis and early cirrhosis of the liver due to chronic alcoholism K70.10
3. Perirectal abscess Atony of colon Percutaneous incision and drainage of perirectal abscess
4. Alcoholic hepatic coma with massive ascites secondary to Laennec's cirrhosis Alcohol dependence Paracentesis
5. Intestinal obstruction due to peritoneal adhesive band Open lysis of adhesive band large intestine
K70.30 F10.20
K61.1 K59.8 0D9P3ZZ
K70.41 K70.31 F10.288 0W9G3ZZ
K56.5 0DNE0ZZ
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