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Tag Archives: order

Diagnosis order

Posted on by
I am having a hard time trying to understand the pecking order for diagnosis codes that have -use additional code to identify under a chapter then also -use additional code to identify underneath the code you are choosing.

For example:
Hypertensive diseases (I10-I16)
-it says to use additional code to identify Tobacco use etc…

Lets say I am coding I12.9 Hypertensive CKD
-it also ask to use additional code to identify the stage of CKD

So my question is what would be the pecking order for the "use additional" when coding for the scenario above?

I12.9
Z87.891
N18.9

OR

I12.9
N18.9
Z87.891

My initial thought would be start from the chapter guideline first then go down so I would code it I12.9, Z87.891 then N18.9 but I could be wrong.

Thank you

Medical Billing and Coding Forum

Sequence Anemia in Order of Events

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Is the anemia due to a malignancy or an adverse effect to treatment of the malignancy? Proper ICD-10-CM coding of anemia requires the coder to know what is causing the condition. Let’s look at types of anemia, and medical coding and sequencing of the disease when it is caused by a malignancy or adverse effect. […]
AAPC Knowledge Center

Order of Dx

Posted on by
Hi all! Anyone know if the order of diagnoses in the assessment in the chart needs to match how they are on the claim? We are a little different in the fact that our providers do all of their own coding, and there are not coders reviewing anything before it goes to insurance. They are able to re-order the assessments before submitting to superbill in our EMR, however it does not change the order of diagnoses in the chart note. I do not know if it matters or not?

Example
Assessment: 1. L57.0 2. L70.0 3. Z85.820

Provider clicks re-order prior to submitting their charges and they put 1. Z85.820 2. L70.0 3. L57.0

Should the order be the same in both the chart note and claim or does it make no difference?

Thanks!!!

Medical Billing and Coding Forum

Needed in order to Bill For CPT 23500

Posted on by
I’m not sure if this has already been asked.
I have been tasked with finding out exactly what a provider has to do in order to bill for CPT 23500 – Closed treatment of clavicular fracture; without manipulation.
We’ve had a couple of patients call back saying they were billed for 23500 but the provider didn’t actually do anything during their visit.

Can anyone lead me to some resources to find this information out? or does anyone out there know?

Thanks for your help!!!

Kaidachi

Medical Billing and Coding Forum

Coding from radiology order

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Is it okay to code the diagnosis from a diagnostic radiology order when the report is not available yet. For instance, patient comes in for screening mammogram but report takes several weeks to come through (don’t know why). Is it okay to code it with the screening mammogram code that is on order.

What about other diagnostic radiology encounters. For example ultrasound, x-ray etc…and the report is not available?

Medical Billing and Coding Forum