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Code This!

Scenario Week of May 02, 2013:
View Current Scenario

A 67-year-old male patient was brought to the outpatient surgery unit for treatment of fecal incontinence. Previous diet and fiber changes had not been successful in treating the incontinence, and the patient wanted to move forward with the anal submucosal injections.

The patient was brought to the operating room, placed in the prone jackknife position and prepped. The anoscopy was inserted until the dentate line was clearly viewed. Four 1 mL injections of hyaluronic acid/dextranomer were administered in the anal canal about 5 mm deep beginning at the posterior, left-lateral, anterior, and right-lateral sites. The needle was left in each site for about 15 seconds. The patient was taken to the recovery room in good condition.

Assign the appropriate ICD-9-CM and HCPCS diagnosis and procedure codes, as appropriate:


ICD-9-CM Diagnosis Code:
787.60 Full incontinence of feces

HCPCS Codes:
C9735 Anoscopy; with directed submucosal injection(s), any substance
L8605 Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 mL, includes shipping and necessary supplies X 4

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