Juvenile arthritis is not growing pains. Learn about juvenile arthritis to ensure proper diagnosis coding.
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Looking for some feedback as what to code for provider stating:
Dilated cardiomyopathy secondary to Rheumatoid Arthritis:
Should it be I42.0 (dialated cardiomyopathy) + M06.9 (Rheumatoid arthritis, unsp)
or
M05.30 (Rheumatoid Arthritis with heart disease, unsp
Any help appreciated!!
Donna
Per op report:
"…A marked amount of arthritis at the trapezial
carpometacarpal joint was identified. The trapezium was
osteotomized in 3 places with an osteotome, and the bone was
removed in fragments completely. The wound was irrigated with
antibiotic solution. With a 1.5 mm double-stranded labral tape,
we placed the anchor into the articular base of the second
metacarpal, strung it across the base of the metacarpal, and
then placed a second anchor very snugly with the double
stranded 1.5 mm labral tape into the lateral portion of the
metacarpal base. This suspended the metacarpal and stabilized
it completely, with good positioning and no evident subluxing.
We then irrigated again and placed some antibiotic-soaked
Gelfoam in the space of the trapezium, did a very tight
capsular repair with 3-0 Mersilene sutures, mattresses, and
then closed the skin subcuticular with Monocryl…"
Would this be a 25447 even though no tendon transfers are mentioned as performed?
If 25447 is the most appropriate code, should a -52 be appended?
Thanks,
Aubrey CPC, CRC, COC
When you look in the index of the code book there are 2 code options. I’m hoping someone can help point me to information that will help me understand when to code the M00.88 and when to choose M46.5x.
Arthritis
Septic (any site except spine) – see Arthritis, pyogenic or pyemic
Spine see spondylopathy, infective
Arthritis
Pyogenic/pyemic (any site except spine)
Bacterial NEC M00.9
Vertebra M00.88
Spondylopathy
Infective NEC M46.50
Cervical M46.52
Lumbar M46.56
Thoracic M46.54
Thank you!
How would you code Unspecified arthritis bilateral hands. I do not see a code for unspecified arthritis only for "other arthritis"or "unspecified osteoarthritis when I look in ICD 10 manual or google it. Doctor did not specify the type of arthritis. Any clarification appreciated.
Thank you.
Deborah
Thank you!!!!!
Thank you!!!!!
Please help