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. […]
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Tag Archives: sequence
Excision & repair coding sequence
Just starting out with my CPCD coding course. I’ve been working on the practice case studies, and I’m finding that a lot of the repairs are being stated as the "first CPT listed". When reading the case studies, the first CPT listed was (what I thought would was) the procedure of the excision itself. What is the sequence of CPT codes listed when coding an excision and repair for example? Are repairs always going to be listed before the procedure itself? Also, where would I find these guidelines stating the info I’m looking for? Thank you!
Home Health Dx Coding Sequence
I have recently started working at a home health company and am doing some coding. My question is the sequence of the dx codes. If I am looking at it from the home health agency perspective, would the primary code be the "reason" for the home health or therapy the patient is receiving? For instance we had a patient that had vertigo and muscle weakness, and also a UTI. She was receiving physical therapy. However, the company had sent this chart out to an outside coding company and they came up with the UTI as the primary diagnosis. I did not see how that would be appropriate. I would think the vertigo and then muscle weakness would be the first two codes as this was the reason for the therapy. What do you think?
Z code sequence question
Hello, looking for help from Medicaid payer – per ICD-10 NCCI Manual, a certain list of Z codes (below) must appear in the primary dx position. Most if not all are encounters – question: if a STI (Sexually Transmitted Infection) screening Z code appears on the same line, does it matter which (encounter or screening) position the screening Z code appears in? And is it correct to bill an encounter and a screening Z code at the same time/same day? Thanks.
16) Z Codes That May Only be Principal/First-Listed Diagnosis (pp. 99-100)
The following Z codes/categories may only be reported as the principal/first-listed diagnosis, except when there are multiple encounters on the same day and the medical records for the encounters are combined:
Z00 Encounter for general examination without complaint, suspected or reported diagnosis
Except: Z00.6
Z01 Encounter for other special examination without complaint, suspected or reported diagnosis
Z02 Encounter for administrative examination
Z03 Encounter for medical observation for suspected diseases and conditions ruled out
Z04 Encounter for examination and observation for other reasons
Z33.2 Encounter for elective termination of pregnancy
Z31.81 Encounter for male factor infertility in female patient
Z31.83 Encounter for assisted reproductive fertility procedure cycle
Z31.84 Encounter for fertility preservation procedure
Z34 Encounter for supervision of normal pregnancy listed in addition to screening in a couple of the examples below
Z39 Encounter for maternal postpartum care and examination
ICD-10-CM Official Guidelines for Coding and Reporting FY 2017 Page 100 of 114
Z38 Liveborn infants according to place of birth and type of delivery
Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury
Z51.0 Encounter for antineoplastic radiation therapy
Z51.1- Encounter for antineoplastic chemotherapy and immunotherapy
Z52 Donors of organs and tissues
Except: Z52.9, Donor of unspecified organ or tissue
Z76.1 Encounter for health supervision and care of foundling
Z76.2 Encounter for health supervision and care of other healthy infant and child
Z99.12 Encounter for respirator [ventilator] dependence during power failure