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Catch Up on ICD-10-CM Poisoning and Adverse Effects

When it comes to diagnosis coding, make the Table of Drugs and Chemicals your best friend. The diagnosis codes on a claim should tell the story of the patient’s encounter at a healthcare setting with a provider. Telling the story becomes more complicated when there are definitions and sequencing involved, as is the case with […]

The post Catch Up on ICD-10-CM Poisoning and Adverse Effects appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

adverse effects of corticosteroids on diabetes

Hello. I am confused on the sequencing of steriod-induced diabetes mellitus due to the prolonged use of corticosteroids. Subsequent visit for the diabetes. The drug was discontinued at the previous visit.
E09.9 and T38.0X5D

The answer I am being given is sequence the T38. code first followed by the E09 code.

However, ICD 10 states under E09 Drug or Chemical induced diabetes mellitus:

Use Additional

code for adverse effect, if applicable, to identify drug (T36-T50
with fifth or sixth character 5)

Code First

poisoning due to drug or toxin, if applicable (T36
-T65
with fifth or sixth character 1-4 or 6)

The answer given seems to go against the guidelines.
Is the diabetes a manifestation of the steroid use or an adverse effect?
If it gets sequenced second- why?

Medical Billing and Coding Forum

Discover about Effects Of a Dicom Viewer To Your Medical Facility

If you are going to use digital medical images, the first sugestion for you is you should obtain a dicom viewer. You can use dicom viewers as basical software applications and can place them on a computer running Windows, Mac, or Linux. You can also access them online by using a web based dicom viewer, then you computer will be allowed to read digital medical images. Using a dicom view in the course of work can be advantageous in some ways.


Flexibility

 

A dicom viewe allows you to see medical digital images taken from a variety of modalities. You can see x-rays, CTs, MRIs, ultrasounds, endoscopic imaging, mammograms and others with a viewer.

 

Immediate Access


One of the best benefits that comes from using a dicom viewer is the speed with which you can access the digital medical images that you need. Instead of trekking down to a storage area to search through thousands of records to find the ones that you want, you simply search using your computer, and the images come up instantly.

 

Through the use of a web based dicom view, you can also have speedy access any where you are. You are no longer tied to your desk at the office, but can remotely access the medical images that you require at your convenience through the use of a web based dicom viewer.

 

You can also create a workstation with the addition of PACS software to your computer setup. This allows your web based dicom v to send and receive medical digital images, enabling cost-effective consultations with physicians located nearly anywhere in the world, or simply sending medical records down the hall to a colleague with a web dicom viewer who is on your local area network. A web dicom viewer also allows you to back up your patients’ medical records in a secure digital environment, both on-site and to off-site locations, for excellent disaster recovery and for meeting compliance with HIPPA regulations concerning digital medical imaging archiving.


Improved Image Viewing

 

With film medical images, what you see is what you get in terms of image quality. With a dicom viewer, you can enhance digital medical images for contrast and clarity. You can see, by setting your dicom view for higher resolutions, digital medical images in much greater detail than ever before.

 

Lower Cost


As with all types of computer software and hardware, the price of fully-functional dicom view or web dicom viewer has come down extensively in price since digital imaging was first introduced to the medical field. Now smaller medical offices and clinics can step up to affordable digital medical imaging with a web based dicom viewer.

 

 

In this article Jonathon Blocker writes about dicom viewers.

Related Medical Coding Articles

5 Unfortunate Effects of Medical Malpractice

While we like to hope a trip to the hospital will always end with us walking out healed or at least in a better condition, there are countless cases every year of people who suffer the exact opposite. After all, doctors are human too, and for that reason they make mistakes. But whether or not mistakes are a human characteristic, anyone who is victimized by the mistake of a medical professional—or even worse, victimized by malicious intent—owes it to themselves and future patients to seek justice.

There are many different outcomes in this type of case, but here are some common after-effects of medical malpractice.

1. Pain and Suffering

The most obvious effect of having something go wrong in an operation or some other kind of medical treatment is the pain and suffering of the injured. Even a temporary injury can be severely painful and in many cases suffering may go on for a long period of time, if not a lifetime. Pain and suffering is awarded compensation in many of these cases as it is very real to those involved.

2. Disability or Deformity

In a severe case, a patient may end up disabled or deformed as a result of medical malpractice. This creates a situation that can put them at a disadvantage for the rest of their life, affecting their ability to work and do pretty much anything else.

It does, of course, depend on the type and extent of the disability or deformity, but the fact that their life has been altered from what it was before they went under the knife and trusted the doctor is very tragic and is an issue that should always be addressed.

3. Emotional Stress and Suffering

One of the deepest extents of any medical malpractice situation is the emotional stress caused by the situation. In the case of disability or deformity, this can be an ongoing thing, but even a temporary situation can result in shock and complete re-evaluation of what we can expect from the society around us.

The truth is this: most of us inherently trust doctors and physicians to keep our best interest in mind and to have the ability to safely help us. This trust may not always be founded, but it’s a deeply rooted part of our culture, and even if we get butterflies before a major operation, our logic still tells us that we’re going to come out fine on the other side.

When that isn’t the case, it can really damage our psyche and give us a deep fear of medical attention of any kind. In many cases, that is just the beginning of what happens to our psyche.

4. Financial Woes

Medical malpractice can become very expensive for the patient wronged. Not only are they often subjected to very significant medical costs—which can skyrocket in this country—but they are often put out of work for long periods of time if not forever. This reason alone is a strong motivation to seek justice and at least be compensated for financial loss.

5. Death

Sadly, medical malpractice can and does lead to death in some cases. Whether from the wrong medication or something more sinister, these things do happen. In these cases, family members can often take action on behalf of the deceased and be compensated for funeral costs, loss of family income, emotional suffering, and more. If malicious intent was involved, criminal charges can be brought.

If you come out of a doctor’s office or hospital worse than when you went in, it is absolutely imperative to seek the advice of a Milwaukee Medical Malpractice Lawyer and know your rights. No one should undergo this experience alone, and unless you talk to a competent professional, you have no way of knowing what course of action you should take. For more information, go to http://www.warshafsky.com/practice-areas/medical-malpractice/.

The Fatal Effects of Medical Malpractice

When one is making the choice for seeking a medical assistance, they are expecting to be treated with understanding, thoughtfulness and care. But, sadly sometimes there are some tragic cases of the medical negligence. Generally, this medical negligence is caused due to poor decisions of medical professionals, nurses or any other person related with medicine industry. The medical malpractice causes the significant harm to many ignorant and innocent patients.

The medical malpractices can occur in numerous ways. Some common ways through which the medical malpractice occur includes the following. The one way is the delay in the treatment. This happens when the patient enters in the emergency room and the medical professionals are capable for providing the treatment, but refuses to treat the patient or even take more than required time in the treatment process. In this case, the doctor can be held responsible for the negligence and the results thereafter.

The other way can be the wrong diagnosis. It is the job of a medical professional for taking complete care for properly diagnosing the patients. If the medical professional becomes negligent and diagnose wrong type of the illness, the innocent victims are the main sufferers. Another way includes the improper treatment. It is somewhat similar to the wrong diagnosis. The improper treatment will surely fail to support the existing medical predicament and will also cause further pain and sufferings unnecessarily.

The other way which results in the medical malpractice is the surgical errors. The various careless surgical activities, which severely harm innocent patients include the improperly completion of the surgeries and also the surgical equipments which are left inside the patient’s body. The consequences of these medical malpractices can be very dangerous and deadly. A malpractice lawyer will surely help you if you have become a victim of any of the medical malpractices. These lawyers will work in order to ensure that the victims of medical malpractices are being compensated for the pain and the sufferings.

When a person is taken as the patient by any of the medical professionals, then there is an understood guarantee that these professionals will be providing the patient with the required care. This automatically becomes a legal obligation. The medical malpractice is when these medical professionals break this guarantee and it further leads to the injury for the patients.

The lawsuits of the medical malpractices are usually based on the punitive damages or the monetary damages and sometimes even both. The important part of the malpractice law is the medical professional’s inattentiveness for details, incompetence or the negligence caused the patient for being injured in such manner that could have been measured.

The malpractice attorney will be helping you in filing the lawsuit and the basis of their hiring will be on contingency. This means that the lawyers will agree to get paid only when they are able to win the lawsuit for the patient and the patient is being compensated for the negligence by the medical professional. This is the best way for a person to hire the services of the medical malpractice lawyer.

The medical malpractice can prove to be fatal many a times. One should fight for the justice, if they happen to fall under any of the medical practices error by the medical professional.

George Turner gives advice to clients who are looking for attorneys to handle injury related cases. To know more about the services of medical malpractice, medical malpractice lawyer new york, medical malpractice lawyers new york, medical malpractice law firm, visit www.nbrlawfirm.com

Related Medical Coding Articles

Effects of ICD-10 on Coding Production – Example from MGMA Community

Now that ICD-10 has been rolled out, medical coding companies are feeling its effects. The Medical Group Management Association (MGMA) and its affiliates are having to recreate their processes in order to account for the vast increase in the number and variety of codes. What was once a simple system with a mere 13,000 codes is now far more complex with 68,000.

Companies like the Coding Network are forerunners in ICD-10 Readiness, already having switched our processes to get away from the soon-to-be defunct ICD-9. Whether it be a simple audit or a complicated coding project, TCN’s production rate has never been higher.

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The Coding Network