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Cardiology Coding Alert

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Check your ICD-9 2010 Prep With 3 Embolism Questions

Published on Thu Aug 27, 2009

Services Oct. 1 and later require more specificity -- are you prepared? ICD-9 2010 brings a huge expansion in thrombosis and embolism coding options, which means you need a keen eye to spot precise anatomic locations and whether a problem is chronic or acute. Dig into these three scenarios to see if you can choose the proper code for services performed on or after Oct. 1. Then turn to page 95 for the answers. Scenario 1: Get a Leg Up on Leg Complaint For services Oct. 1, 2009, or later, which ICD-9 code should you choose if your documentation indicates the following? • Male patient, 69, complains of chronic swelling and pain in his left leg. Comprehensive history and exam performed. • Ordered CBC, Chem panel, D-dimer, and Doppler ultrasound of leg ... Ultrasound indicates significant iliofemoral chronic venous thrombosis. • Initiation of Heparin therapy to prevent worsening and hospital admission. [...]
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