A 65 year old patient had experienced blood in his stools, or melena, for the past several days.

A 65 year old patient had experienced blood in his stools, or melena, for the past several days. Over the past 12 hours, the bleeding had increased, and the patient felt very weak and dizzy. He was admitted to the hospital by his physician. The patient was known to have diverticulitis. The patient was advised to have a colonoscopy and an upper GI endoscopy, to which he agreed. The colonoscopy was performed, and the patient was found to have diverticulosis, but no inflammation was seen. However, an area of erosion, ulceration and bleeding was seen in the duodenum during the EGD examination. A biopsy of the duodenum was taken during the EGD. The physicians diagnosis was acute duodenal ulceration with hemorrhage; diverticulitis of colon.

PCS Code for: Upper GI Endoscopy (EGD) with biopsy

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