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Z43.2
ICD-10-CM
Ileostomy Reversal

Find comprehensive information on ileostomy reversal surgery, including clinical documentation requirements, medical coding guidelines (ICD-10-PCS, CPT), postoperative care, and potential complications. Learn about the ileostomy reversal procedure, recovery timelines, and healthcare provider considerations for optimal patient outcomes. Explore resources for accurate medical coding and documentation related to ileostomy takedown, closure, or restoration of intestinal continuity.

Also known as

Ileostomy Takedown
Ileostomy Closure

Diagnosis Snapshot

Key Facts
  • Definition : Surgical reconnection of the intestines after a temporary ileostomy.
  • Clinical Signs : Normal bowel function restoration, absence of stoma, resolved underlying condition.
  • Common Settings : Inpatient surgical ward, outpatient surgical clinic, follow-up appointments.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z43.2 Coding
K63.2

Complications of ileostomy

Covers complications specific to ileostomies, potentially including reversal-related issues.

K91.89

Other postprocedural disorders of digestive system

Encompasses various post-surgical digestive complications, possibly related to ileostomy reversal.

Z98.89

Other specified postprocedural states

A broader category for post-procedure states, applicable if no more specific code exists.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Was the ileostomy created for a benign condition?

  • Yes

    Any complications documented?

  • No

    Any complications documented?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Ileostomy Reversal
Intestinal Obstruction
Short Bowel Syndrome

Documentation Best Practices

Documentation Checklist
  • Ileostomy reversal procedure note
  • Pre-op diagnosis: Ileostomy
  • Reason for reversal documented
  • Surgical technique specified
  • Post-op complications noted

Mitigation Tips

Best Practices
  • Accurate ICD-10-PCS coding for reversal procedures: Z98.81
  • Thorough documentation of pre-op ileostomy status (K63.1)
  • Meticulous operative report: anastomosis type, complications
  • Post-op CDI: bowel function monitoring, complication coding
  • Patient education documented: diet, ostomy care transition

Clinical Decision Support

Checklist
  • Confirm prior ileostomy creation diagnosis code (e.g., Z93.3)
  • Verify adequate bowel function documented
  • Check absence of active Crohn's or other contraindications
  • Confirm imaging confirms suitability for reversal
  • Document patient consent and surgical plan

Reimbursement and Quality Metrics

Impact Summary
  • Ileostomy Reversal Reimbursement: CPT 44625, 44620 impacts depend on surgical approach, complexity. Accurate coding crucial for maximizing payment.
  • Coding accuracy key: Miscoded Ileostomy Reversal (ICD-10 K91.88) claims lead to denials, reduced revenue.
  • Quality metrics impact: Surgical site infection (SSI) rates, readmissions post Ileostomy Reversal affect hospital quality reporting.
  • Hospital reporting: Accurate documentation, coding (ICD-10, CPT) vital for Ileostomy Reversal data analysis, performance improvement.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code Z98.3 for ileostomy status
  • Document reversal reason, site, technique
  • Query physician for clarification if unclear
  • Check CCI edits for bundled procedures
  • ICD-10-PCS for reversal procedure

Documentation Templates

Patient presents for ileostomy reversal surgery.  The patient's medical history includes a previously created ileostomy, the indication for which was [original indication for ileostomy, e.g., Crohn's disease, ulcerative colitis, colon cancer, trauma].  The original ileostomy surgery date was [date]. The patient reports [mention symptoms related to the ileostomy or lack thereof, e.g., good stoma health, no complications, manageable output].  Physical examination reveals a [describe stoma appearance, e.g., healthy, pink, well-healed, peristomal skin intact] end ileostomy located in the [location, e.g., right lower quadrant]. Preoperative evaluation includes [mention specific tests, e.g.,  CT abdomen and pelvis, blood work including complete blood count, comprehensive metabolic panel, coagulation studies].  These tests show [results of preoperative tests, e.g., no evidence of intra-abdominal abscess, normal bowel anatomy visualized, labs within normal limits].  The risks and benefits of ileostomy reversal surgery, including potential complications such as anastomotic leak, small bowel obstruction, wound infection, and recurrence of original disease, were discussed with the patient.  The patient understands the procedure and provides informed consent.  The plan is for elective laparoscopic ileostomy reversal with intra-abdominal anastomosis.  Postoperative care will include bowel rest, nasogastric tube decompression, intravenous fluids, and pain management.  Patient education regarding diet progression, wound care, and follow-up appointments will be provided.  ICD-10 code K91.88 (Other specified disorders of intestine) and CPT code 44625 (Closure of colostomy or ileostomy) are considered appropriate. This documentation will be updated postoperatively to reflect the surgical findings and intraoperative details.
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