Wiki Fixed Sigmoid Colon

[plynn]

Colonoscopy;

primary impression listed: Fixed Sigmoid Colon

documentation within report: The sigmoid colon was fixed and very difficult to traverse; however, after multiple attempts with pressure and repositioning of the patient, we were successful.

Any suggestions on ICD9 code for "Fixed Colon"

I know that 560.2 is used for Knotting, Strangulation, Torsion & Twist
Just not sure what to do with "fixed"

Thanks so much

 

[pamsbill]

Colonoscopy;

primary impression listed: Fixed Sigmoid Colon

documentation within report: The sigmoid colon was fixed and very difficult to traverse; however, after multiple attempts with pressure and repositioning of the patient, we were successful.

Any suggestions on ICD9 code for "Fixed Colon"

I know that 560.2 is used for Knotting, Strangulation, Torsion & Twist
Just not sure what to do with "fixed"

Thanks so much

In my opinion, I would not use it because it is an anatomical description and it is not a reason to do the procedure, nor a result of the procedure (as in a polypectomy or biopsy.) If you had to use something, I would choose 560.9 because it describes a stricture, stenosis, or an occlusion and is an ill-defined code (since it ends in .9) although we are all taught not to aim for "close" but rather to aim for "exact."

I would suspect there are other diagnoses which prompted the procedure which is what I would use.

PM