Travelsin the interiorgi journeyraymond

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  • 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 RxForSanity.com
  • 2. ObjectivesFor each segment of the gastrointestinal tract:• Anatomy• Pathology• Testing capabilities• Q about your ‘friend’
  • 3. • Oropharynx• Esophagus• Stomach• =======• Liver• Gallbladder• Pancreas• =======• Small intestine• Colon
  • 4. Coding: The Dewey Decimal System of Medicine RxForSanity.com
  • 5. Codes I love to use 301.3 Quarrelsome
  • 6. Codes I’d love to use someday E827 Collision with animal drawn vehicle, unattended E845.0Accident, spacecraft occupant
  • 7. Travels in the Interior RxForSanity.com
  • 8. Fantastic Voyage, 1966
  • 9. Travels in the Interior orThe Wonderful Adventures of Luke and Belinda• Luke Theophilus Courtney, London 1887
  • 10. Oropharynx RxForSanity.com
  • 11. Esophagus RxForSanity.com
  • 12. Stomach RxForSanity.com
  • 13. Symptoms coded• Nausea alone• Nausea with vomiting• Dyspepsia• Early satiety
  • 14. Tests for esophagus, stomach• EGD • With biopsy • With aspiration • bile salt collection • culture • With control bleeding • With banding • With dilation • Balloon • Savoury • Maloney
  • 15. 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
  • 16. ?
  • 17. Liver RxForSanity.com
  • 18. Gallbladder RxForSanity.com
  • 19. Pancreas RxForSanity.com
  • 20. Tests for liver, gallbladder,pancreas• Liver biopsy• ERCP • With sphicterotomy • With stone extraction • With stent • With biopsy, brushing
  • 21. ?
  • 22. Small bowel RxForSanity.com
  • 23. Colon RxForSanity.com
  • 24. Tests for small bowel, colon• M2A capsule endoscopy• Colonoscopy • With biopsy • With polypectomy • With control of bleeding • With foreign body removal• Infusion therapy
  • 25. ?
  • 26. Splash down! Anorectal region RxForSanity.com
  • 27. Tests for anorectal region• Anoscopy• Anal manometry• Hemorrhoid banding
  • 28. ?
  • 29. ?