icd 10 code for pain r/t whipple surgery

With ICD-9, the Whipple was coded as Radical Pancreaticoduodenectomy, better known as a 52.7. With ICD-10 PCS, the Whipple procedure is now often defined by the use of the following seven unique procedure codes: Excision of pancreas, open approach (0FBG0ZZ). Resection of duodenum, open approach (0DT90ZZ).

Full Answer

What is the ICD 10 code for whipple disease?

Whipple's disease. K90.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for postoperative pain?

Other acute postprocedural pain. G89.18 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the latest version of ICD 10 for pain?

The 2021 edition of ICD-10-CM G89.18 became effective on October 1, 2020. This is the American ICD-10-CM version of G89.18 - other international versions of ICD-10 G89.18 may differ. Applicable To. Postoperative pain NOS. Postprocedural pain NOS.

What is the ICD 10 code for lumbar puncture?

K90.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K90.81 became effective on October 1, 2021.

What is the ICD-10 code for post surgical pain?

18.

What is the ICD-10 code for status post Whipple procedure?

K90. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K90.

What is the ICD-10 code for Post op abdominal pain?

G89. 18 - Other acute postprocedural pain. ICD-10-CM.

What is the ICD-10 for pain?

ICD-10 code R52 for Pain, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is the CPT code for Whipple procedure?

Coding Whipple Procedures. Codes 48150 and 48152 describe the standard Whipple procedures, with partial pancreatectomy (subtotal), total removal of the duodenum, partial removal of the stomach, and anastomosis of the bile duct to the intestines and the stomach to the jejunum.

What is the ICD-10 code for status post laparotomy?

Z48. 815 - Encounter for surgical aftercare following surgery on the digestive system | ICD-10-CM.

When do you code postoperative pain?

When postoperative pain is not associated with a specific postoperative complication, it is assigned to the appropriate postoperative pain code in category 338. Postoperative pain from a complication (such as a device left in the body) is assigned to the appropriate code(s) found in chapter 17, Injury and Poisoning.

What is acute postoperative pain?

Postoperative pain can be divided into acute pain and chronic pain. Acute pain is experienced immediately after surgery (up to 7 days) and pain which lasts more than 3 months after the injury is considered to be chronic pain.

When do you code acute pain due to trauma?

ICD-10-CM Code for Acute pain due to trauma G89. 11.

What is the ICD-10 code for Acute on chronic pain?

Chronic pain, not elsewhere classified The 2022 edition of ICD-10-CM G89. 2 became effective on October 1, 2021.

What is the ICD-10 code for chronic pain unspecified?

R52 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R52 became effective on October 1, 2021. This is the American ICD-10-CM version of R52 - other international versions of ICD-10 R52 may differ.

What is Dorsalgia unspecified?

Dorsalgia means back or spine pain, including low back, mid back, and sciatic pain. It does not include pain related to scoliosis, lordosis, or other specifically classified conditions.

What is the code for postoperative pain?

Postoperative pain not associated with a specific postoperative complication is reported with a code from Category G89, Pain not elsewhere classified, in Chapter 6, Diseases of the Nervous System and Sense Organs. There are four codes related to postoperative pain, including:

Is postoperative pain a part of recovery?

Postoperative pain typically is considered a normal part of the recovery process following most forms of surgery. Such pain often can be controlled using typical measures such as pre-operative, non-steroidal, anti-inflammatory medications; local anesthetics injected into the operative wound prior to suturing; postoperative analgesics;

Is postoperative pain normal?

Determining whether to report postoperative pain as an additional diagnosis is dependent on the documentation, which, again, must indicate that the pain is not normal or routine for the procedure if an additional code is used. If the documentation supports a diagnosis of non-routine, severe or excessive pain following a procedure, it then also must be determined whether the postoperative pain is occurring due to a complication of the procedure – which also must be documented clearly. Only then can the correct codes be assigned.

Is postoperative pain a reportable condition?

Only when postoperative pain is documented to present beyond what is routine and expected for the relevant surgical procedure is it a reportable diagnosis. Postoperative pain that is not considered routine or expected further is classified by whether the pain is associated with a specific, documented postoperative complication.

Policy

Aetna considers pancreaticoduodenectomy (also known as Whipple resection) medically necessary for the treatment of intraductal papillary mucinous neoplasm of the pancreas (IPMN) with high-grade dysplasia or invasive cancer.

Background

Zollinger-Ellison syndrome (ZES) is characterized by severe peptic ulcer disease that results from non-beta islet cell tumors, gastrinomas, of the gastrointestinal tract. The mean age at presentation is 45 to 50 years, and men are affected more often than women.

The above policy is based on the following references

Aimoto T, Mizutani S, Kawano Y, et al. Significance of aggressive surgery for an invasive carcinoma derived from an intraductal papillary mucinous neoplasm diagnosed preoperatively as borderline resectable. J Nippon Med Sch. 2013;80 (5):371-377.

What is a Whipple procedure?

The most common Whipple procedure is an en bloc removal of: Distal segment (antrum) of the stomach. First and second portions of the duodenum. Head of the pancreas. Common bile duct. Gallbladder.

What is the code for a partial pancreatectomy?

Codes 48150 and 48152 describe the standard Whipple procedures, with partial pancreatectomy (subtotal), total removal of the duodenum, partial removal of the stomach, and anastomosis of the bile duct to the intestines and the stomach to the jejunum. Code 48150 includes anastomosis of the pancreatic ducts with the jejunum (pancreatojejunostomy)—48152 does not include this repair.

What is excise bad whiple?

Excise Bad Whipple Procedure Coding. A pancreaticoduodenectomy, pancreatoduodenectomy, or Whipple, is a surgical procedure involving the pancreas, intestines, and other organs. It is usually performed to treat malignancies on the head of the pancreas, common bile duct, or duodenum (which are near the pancreas) but also may be performed in abdominal ...

What is the code for anastomosis of the pancreatic ducts with the jejunum

Code 48150 includes anastomosis of the pancreatic ducts with the jejunum (pancreatojejunostomy)—48152 does not include this repair. Codes 48153 and 48154 describe the same procedures, by pylorus-sparing technique. The pylorus-sparing pancreaticoduodenectomy is the procedure performed more often.

What is the purpose of the ICD-10 code?

The International Classification of Diseases (ICD) was initially developed and published by the World Health Organization (WHO) to standardize healthcare reporting worldwide. According to the WHO, “ICD is the foundation for the identification of health trends and statistics globally, ...

How many characters are in an ICD-9 code?

ICD-9 procedure codes contained only three to five numeric characters, limiting space for adding new codes. ICD-10 PCS was designed to have the flexibility for adding new codes as new procedures are added or new technologies come into play.