Laureen shows you her proprietary “Bubbling and Highlighting Technique”
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Learn how to recognize, manage, and code eosinophilic esophagitis. I had never heard of eosinophilic esophagitis (EoE) before my luncheon date with a friend, who I’ll call Monica. She and I are odd-fellow friends: Monica is an overachiever super-mom, always cheerful and confident; me, not so much. I want to share her story with you so […]
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Test your knowledge with this week’s free quiz, which focuses on ICD-10-CM codes for general symptoms and signs. (View)
I know you probably see this question a lot. My scenario is a patient is possibly schizophrenia. The rheumatologist provider does not establish medical necessity to support patient is schizophrenia. Provider mentions that patient has memory loss in both the HPI and exam. Is is acceptable for me to report memory loss in conjunction to schizophrenia? Can you please put valid sources?
I appreciate any assistance ..
EXAMPLE:
Chief Complaint
Nasal congestion
History of Present Illness
Nasal congestion: 11 days old male baby comes in with nasal congestion, chest congestion and wheezing for 3 days, no fever, feeding well. Urinating and stooling normally. Denies sick contacts. no cough or eye discharge.
Birth History: 41 weeks born by c-section for failure to progress, ROM 7-8 hrs, received antibiotics in labor.
Breast fed with formula supplement(similac advance).
I have a coder that indicates she’s reporting a diagnosis codes based on documentation of physical exam for an E/M service. For example: Patient presents for rashy "itchy-blistery"skin in contact with dog who has fleas. On skin exam, provider notes punctate erythematous papules. The coder then reports a diagnosis based on exam, L53.8 (Other specified erythematous conditions). Isn’t this an assumption and should be reported as a symptom, R21 (Rash and other nonspecific skin eruption) since there’s no definite diagnosis as of yet? She mentioned she went to a forum and they said it was ok to code from an exam finding?! Any thoughts?
I do coding for a large physician group and after the physicians add their codes I review them for accuracy. I am having difficulty deciding when to remove symptoms that I believe are an inherent to a disease. For example: M47.892-Other spondylosis, cervical region with M54.2-Cervicalgia. I believe I would remove the cervicalgia but I am questioning myself. Does anyone have any advice as to what I can do to study this area of coding?
Thank you
I know not to use Z1211 screening as a PDX in this case, but should it be listed as a secondary?
What if no hemorrhoids were found on colonoscopy, then would Z12.11 be listed as a secondary?
Thank you