What is the CPT code for perforated gastric ulcer?
Omental patch for repair of bleeding gastric ulcer is coded to 30505-00  Control of bleeding peptic ulcer. For an ulcer that is perforated and not bleeding code to 90304-00  Other repair of stomach.
How to repair a perforated peptic ulcer?
Ulcers can be treated with a surgical procedure called Omental patching. Omental patching is a surgical procedure for treating perforated ulcers. It is also called a Graham patch after the surgeon who first performed this technique. This procedure uses a patch of the omentum to repair the injury because it is durable.
What is perforated DU?
A perforated ulcer is a condition in which an untreated ulcer has burned through the mucosal wall in a segment of the gastrointestinal tract (e.g., the stomach or colon) allowing gastric contents to leak into the abdominal cavity. Perforated ulcer. Other names. Ruptured ulcer.
What is the ICD-10 code for perforated viscus?
H72. 829 Total perforations of tympanic membrane, unsp…
What is a modified Graham patch?
A variant of the classical technique that is used by some surgeons is the modified omental patch. After sutures are placed between the edges of the perforation in a standard fashion, they are tied in an attempt to close the wall defect.
What is a truncal vagotomy?
A truncal vagotomy is the division of the anterior and posterior trunks 4-cm proximal to the GEJ. Removes the acetylcholine-mediated secretion of acid from parietal cells. Results in the accelerated emptying of liquids due to the removal of the vagally mediated receptive relaxation of the gastric fundus.
What is perforated viscus?
A perforated viscus, also known as an intestinal or bowel perforation, is a life-threatening condition that occurs when the wall of the gastrointestinal tract ruptures and the enteric contents leak into the peritoneal cavity (e.g., the space between the abdominal wall and the internal organs), thereby causing severe …
What is perforated PUD?
Perforated peptic ulcer (PPU) is a serious complication of PUD and patients with PPU often present with acute abdomen that carries high risk for morbidity and mortality. The lifetime prevalence of perforation in patients with PUD is about 5%. PPU carries a mortality ranging from 1.3% to 20%.
What is perforated hollow viscus?
Perforated hollow viscus is characterized by loss of gastrointestinal wall integrity with subsequent leakage of enteric contents. Direct trauma or tissue ischemia and necrosis lead to full-thickness disruption of the gastrointestinal wall and perforation.
What is Cellan Jones repair?
5 Cellan-Jones repair: a strand of omentum is drawn over the perforation and held in place by full thickness sutures placed on either side of the perforation. Source publication.
What is truncal vagotomy?