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Travels in the  Interior:   Journey Down Your     Digestive Tract Patricia L. Raymond MD FACP FACG Rx For Sanity Humana Co...
ObjectivesFor each segment of the  gastrointestinal tract:• Anatomy• Pathology• Testing capabilities• Q about your ‘friend’
•   Oropharynx•   Esophagus•   Stomach•   =======•   Liver•   Gallbladder•   Pancreas•   =======•   Small intestine•   Colon
Coding:   The Dewey   Decimal System   of Medicine    RxForSanity.com
Codes I love to use      301.3   Quarrelsome
Codes I’d love to use someday            E827 Collision with animal drawn      vehicle, unattended           E845.0Acciden...
Travels in the Interior          RxForSanity.com
Fantastic Voyage, 1966
Travels in the Interior orThe Wonderful Adventures of Luke and Belinda• Luke Theophilus Courtney, London 1887
Oropharynx  RxForSanity.com
Esophagus  RxForSanity.com
Stomach  RxForSanity.com
Symptoms coded•   Nausea alone•   Nausea with vomiting•   Dyspepsia•   Early satiety
Tests for esophagus, stomach• EGD   • With biopsy   • With aspiration      • bile salt collection      • culture   • With ...
Tests for esophagus, stomach• EGD   • With laser ablation lesion   • With polypectomy   • With PEG   • With foreign body r...
?
Liver   RxForSanity.com
Gallbladder  RxForSanity.com
Pancreas  RxForSanity.com
Tests for liver, gallbladder,pancreas• Liver biopsy• ERCP   • With sphicterotomy   • With stone extraction   • With stent ...
?
Small bowel  RxForSanity.com
Colon  RxForSanity.com
Tests for small bowel, colon• M2A capsule endoscopy• Colonoscopy   • With biopsy   • With polypectomy   • With control of ...
?
Splash down!  Anorectal region   RxForSanity.com
Tests for anorectal region• Anoscopy• Anal manometry• Hemorrhoid banding
?
?
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
Travelsin the interiorgi journeyraymond
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Travelsin the interiorgi journeyraymond

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Travelsin the interiorgi journeyraymond

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

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