![]() In the context of bowel ischemia in particular ischemic colitis, the splenic flexure is sometimes referred to as Griffith's point, along with the upper rectum ( Sudeck's point). The splenic flexure is a watershed region as it receives dual blood supply from the terminal branches of the superior mesenteric artery and the inferior mesenteric artery, thus making it prone to ischemic damage in cases of low blood pressure because it does not have its own primary source of blood. Splenic flexure syndrome is often found in those with irritable bowel syndrome (IBS), and is considered by some practitioners to be a type of IBS since it can also result from stress. ![]() Gas can build up at this flexure and give abdominal pain giving rise to a condition known as splenic flexure syndrome. Therefore, assign the procedure code 32084-00 905 Fibreoptic colonoscopy to hepatic flexure for the flexible sigmoidoscopy only and use free text to. If no biopsy performed, I would check the Medicare's Preventive guidelines if -53/-52 modifiers can be added to the G codes. Convert 153. This code was replaced on Septemby its ICD-10 equivalent. The splenic flexure is the last and highest positioned flexure in the colon. Per the decision tree, if the scope went beyond the splenic flexure, but not the cecum you would use -53 for diagnostic procedure & -52 for therapeutic. 153.0 is a legacy non-billable code used to specify a medical diagnosis of malignant neoplasm of hepatic flexure. The splenic flexure receives dual blood supply from the terminal branches of the superior mesenteric artery and the inferior mesenteric artery. colon DUODENUM Splenic Hepatic flexure flexure JEJUNUM Ascending colon Cecum. Excludes1 flexure Hepatic JEJUNUM flexure Ascending colon Cecum ILEUM Appendix. The left colic flexure or splenic flexure (as it is close to the spleen) is the sharp bend between the transverse colon and the descending colon. The 10 inch (25 cm) long esophagus is divided into three parts: cervical. Transverse colon DUODENUM Splenic Figure 2-5 Small intestine and colon. ![]() It receives blood supply from the superior mesenteric artery. The hepatic flexure lies in the right upper quadrant of the human abdomen. The following ICD Diagnosis Codes are considered medically necessary when submitted. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm. The right colic flexure or hepatic flexure (as it is next to the liver) is the sharp bend between the ascending colon and the transverse colon. ICD-10-CM C18.3 Malignant neoplasm of hepatic flexure Neoplasms ( C00-D49) Note: Functional activity All neoplasms are classified in this chapter, whether they are functionally active or not. ![]()
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