12/27/2023 0 Comments Tabular list example![]() Even though the anemia is the condition treated and focus of the admission there are instructional notes in ICD-10-CM tabular instructing the coder to “code first” the underlying chronic kidney disease. In this case, the PDX/first listed code will be the ESRD and not the anemia. The patient is discharged to follow up and to continue their outpatient hemodialysis (MWF). The anemia is documented to be due to end stage renal disease (ESRD) after workup and consultation with hematology. Patient present with anemia and is admitted for transfusion.Coders will see the same “code first” instruction when looking at malignant ascites. In the ICD-10-CM tabular, the coder will see notes under the Category J91.0 to code first the underlying neoplasm. In this case, the PDX/first listed code will be the lung cancer followed by the code for the malignant pleural effusion. The patient has thoracentesis and is discharged home. Patient presents for drainage of pleural effusion that is documented to be malignant secondary to lung cancer.Most Common Examples of Incorrect Sequencing: When coders see a code in brackets this indicates that this code should not be sequenced first. This part of the title is telling the coder that this is a manifestation code and is never permitted to be sequenced as the PDX or first listed code. There will be a “use additional code” note at the etiology/underlying condition.Īnother thing to look for is in the code title of specific diagnoses “in diseases classified elsewhere”. If there is a “code first” note in the tabular, the coder should follow this instruction and sequence the underlying etiology or chronic condition first followed by the manifestation as an additional diagnosis. This is especially true when the condition has a common manifestation or underlying conditions of a chronic disease. There are certain conditions that have instructional notes in the ICD-10-CM tabular/coding conventions that guide the coder in sequencing.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |