Clear and concise documentation aids diagnosis coding. I first heard the term Crohn’s disease when I was 12 years old. The surgeon who had just finished operating on my older sister was talking to my grandparents. She didn’t have acute appendicitis, after all, he said. A section of her small intestine had calcified from chronic […]
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Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Crohn’s
90636 for patients with Crohns
Diagnosing Crohn’s and Colitis with Complication
It is my understanding that when selecting the crohn’s or colitis with complication codes, the complication must be documented as being current/active.
For example, patient has a diagnosis of large and small bowel crohn’s. Several years back patient had a fistula that complicated his crohn’s disease; however, the fistula since been resected and the patient has been treated now for a couple of years with Remicade with no current/active complications of his crohn’s disease. Patient has had several follow up visits with no GI complaints and is doing well on treatment.
Question is, would the patient’s diagnosis for all current visits that are documented with no GI complaints and doing well on treatment still be considered crohn’s disease with complication?
If anyone can point me to any supporting documentation, that would also be very helpful.
Crohn’s and Colitis with or without Complication ICD-10 Specificity
It is my understanding that when selecting the crohn’s or colitis with complication codes, the complication must be documented as being current/active.
For example, patient has a diagnosis of large and small bowel crohn’s. Several years back patient had a fistula that complicated his crohn’s disease; however, the fistula since been resected and the patient has been treated now for a couple of years with Remicade with no current/active complications of his crohn’s disease. Patient has had several follow up visits with no GI complaints and is doing well on treatment.
Question is, would the patient’s diagnosis for all current visits that are documented with no GI complaints and doing well on treatment still be considered crohn’s disease with complication?
If anyone can point me to any supporting documentation, that would also be very helpful.
GI Crohn’s and Colitis with or without Complication
It is my understanding that when selecting the crohn’s or colitis with complication codes, the complication must be documented as being current/active.
For example, patient has a diagnosis of large and small bowel crohn’s. Several years back patient had a fistula that complicated his crohn’s disease; however, the fistula since been resected and the patient has been treated now for a couple of years with Remicade with no current/active complications of his crohn’s disease. Patient has had several follow up visits with no GI complaints and is doing well on treatment.
Question is, would the patient’s diagnosis for all current visits that are documented with no GI complaints and doing well on treatment still be considered crohn’s disease with complication?
If anyone can point me to any supporting documentation, that would also be very helpful.