Find comprehensive information on Gastric Sleeve diagnosis, including ICD-10-CM and CPT codes, clinical documentation improvement tips, medical coding guidelines, postoperative care, and healthcare resources. Learn about bariatric surgery complications, sleeve gastrectomy procedures, and weight loss surgery management for accurate and efficient medical recordkeeping. This resource supports healthcare professionals in optimizing documentation for Gastric Sleeve procedures and ensuring proper reimbursement.
Also known as
Laparoscopic sleeve gastrectomy
Removal of part of the stomach via laparoscopy.
Open sleeve gastrectomy
Removal of part of the stomach via open surgery.
Other bariatric surgery
Surgical procedures for weight loss not elsewhere classified.
Overweight and obesity
Conditions related to excess body weight.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the gastric sleeve for obesity treatment?
Yes
Is it a laparoscopic procedure?
No
Is it for another condition?
When to use each related code
| Description |
|---|
| Gastric Sleeve Surgery |
| Gastric Bypass Surgery |
| Adjustable Gastric Band |
Inappropriate use of unlisted laparoscopic gastric bypass code when a specific Gastric Sleeve code exists, impacting reimbursement and data accuracy.
Insufficient documentation of comorbidities like obesity or metabolic syndrome affecting accurate severity and risk adjustment, leading to underpayment.
Inaccurate or missing codes for intraoperative or postoperative complications (e.g., leaks, bleeding), impacting quality reporting and reimbursement.
Q: What are the most effective pre-operative strategies for optimizing patient outcomes after laparoscopic sleeve gastrectomy?
A: Pre-operative optimization is crucial for minimizing complications and enhancing long-term success after laparoscopic sleeve gastrectomy (LSG). Key strategies include a comprehensive patient assessment encompassing nutritional status, comorbid conditions (e.g., diabetes, hypertension), and psychological readiness. Consider implementing a structured weight loss program pre-operatively to reduce liver volume and improve surgical access. Explore how incorporating a multidisciplinary team approach, including dietitians, psychologists, and pulmonologists, can address nutritional deficiencies, behavioral modifications, and optimize respiratory function. Furthermore, patient education regarding post-operative dietary guidelines, pain management strategies, and lifestyle changes are essential for positive outcomes. Learn more about individualized pre-operative protocols based on patient-specific risk factors and comorbidities.
Q: How can clinicians effectively manage post-operative complications like leaks and stenosis following sleeve gastrectomy?
A: Managing post-operative complications requires prompt diagnosis and intervention. Leaks, a serious complication, often present with tachycardia, fever, and abdominal pain. Early diagnosis via upper GI contrast studies or CT scans is vital. Conservative management may involve drainage and antibiotics, while surgical intervention may be necessary for persistent leaks. Stenosis, another potential complication, typically manifests with dysphagia and vomiting. Endoscopic dilation is often the first-line treatment for stenosis, though revisional surgery might be required in refractory cases. Consider implementing a standardized post-operative monitoring protocol, including regular follow-up appointments and patient education on recognizing early warning signs of complications. Explore how minimally invasive surgical techniques and enhanced surgical stapling techniques can mitigate the risk of these complications.
Patient presents for evaluation and management of morbid obesity, considering laparoscopic sleeve gastrectomy (LSG), also known as gastric sleeve surgery. The patient meets the criteria for bariatric surgery with a body mass index (BMI) of [Insert BMI value] and the presence of obesity-related comorbidities including [List comorbidities, e.g., type 2 diabetes mellitus, hypertension, obstructive sleep apnea]. The patient has attempted prior weight loss methods including [List prior attempts, e.g., diet, exercise, pharmacotherapy] without sustained success. Risks and benefits of LSG, including potential complications such as leaks, stricture, and nutritional deficiencies, were discussed. The patient demonstrates understanding of the procedure, postoperative care, and the need for long-term lifestyle modifications including dietary changes and regular exercise. Informed consent was obtained. Preoperative evaluation including laboratory testing, nutritional assessment, and psychological evaluation will be completed. A referral to a registered dietitian and a support group was provided. The patient will be scheduled for preoperative clearance and a subsequent laparoscopic sleeve gastrectomy. ICD-10 code: E66.01 (Morbid obesity due to excess calories). CPT codes for the procedure will be determined based on the specific surgical approach and any intraoperative findings. Future follow-up visits will focus on postoperative recovery, weight management, and monitoring for potential complications.