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Intestinal Obstruction [Documentation Suggestions]

  • Describe clinical signs and symptoms (e.g., abdominal distention, hyperactive bowel sounds, vomiting, etc.).
  • Document work-up (e.g., abdominal x-ray, barium enema, etc.).
  • Describe treatment (e.g., nasogastric suction, NPO, surgery, etc.).
  • Describe etiology, if known (e.g., hernia, fecal impaction, Crohn’s disease, etc.).
Additional notes:

 

 

Source: "Reference Materials", Health Care Excel, Medicare Quality Improvement Organization, and contractor of the Centers for Medicare & Medicaid Services (downloaded from web site: http://www.hce.org/medicare/mcareHPMP.html 7/7/03)