Closure of fistula: Difference between revisions

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== Additional Info ==

*This code can apply to pathological or surgical fistulae --- former might be a enterovesicular fistual (connection from bowel to bladder) due to radiation therapy damage; latter includes all sorts of surgical ostomies such as colostomy, gastrotomy, tracheostomy, etc.

*One might be confused how to code surgical closure of a surgical fistula. In particular should one use THIS "what was done" code, or instead use '''[[Reattachment]]'''. The answer is to use this one, and the "body part" to use is whatever is appropriate, e.g. for colostomy closure use '''[[(T) Large Intestine]]'''. Also, for this person, they should have a comorbid ICD10 code of '''[[Ileostomy or colostomy, has one]]'''

*'''Excludes'''

** closure of '''simple perforation''', use '''[[Repair]]'''

** closure of '''simple perforation''', use '''[[Repair]]''' --- a simple performation differs from a pathological fistula in that only the latter has a "fistulous tract" (i.e. it has a membrane/surface that goes from one of the organs to the other, unlike a simple hole), the former is just a hole (e.g. as might be caused by a knife or bullet)

*Includes:

** bronchopleural fistula (air leak) closure/repair [including via thoracoplasty]

** ~~closure of colostomy,~~ closure/repair of cleft palate.

** closure/repair of cleft palate.

~~{{CCI Collection Mode}}~~

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 == Additional Info ==
+*This code can apply to pathological or surgical fistulae --- former might be a enterovesicular fistual (connection from bowel to bladder) due to radiation therapy damage; latter includes all sorts of surgical ostomies such as colostomy, gastrotomy, tracheostomy, etc.
+*One might be confused how to code surgical closure of a surgical fistula.  In particular should one use THIS "what was done" code, or instead use '''[[Reattachment]]'''.  The answer is to use this one, and the "body part" to use is whatever is appropriate, e.g. for colostomy closure use '''[[(T) Large Intestine]]'''.  Also, for this person, they should have a comorbid ICD10 code of '''[[Ileostomy or colostomy, has one]]'''
 *'''Excludes'''
-** closure of '''simple perforation''', use '''[[Repair]]'''
+** closure of '''simple perforation''', use '''[[Repair]]''' --- a simple performation differs from a pathological fistula in that only the latter has a "fistulous tract" (i.e. it has a membrane/surface that goes from one of the organs to the other, unlike a simple hole), the former is just a hole (e.g. as might be caused by a knife or bullet)
 *Includes:
 ** bronchopleural fistula (air leak) closure/repair [including via thoracoplasty]
-** closure of colostomy, closure/repair of cleft palate.
+** closure/repair of cleft palate.
-{{CCI Collection Mode}}
 {{CCI Collection Mode}}