Question: Your new admission is a 69-year-old man with osteomyelitis from a staph aureus infection in his left lower leg, who is receiving IV antibiotics daily for the next six weeks. He has a PICC line inserted and skilled nursing is ordered to change the dressing every three days and observe for side effects from the antibiotics. How would you code this? M0230 M0240 .
Answer: There has been no surgery yet and the patient isn't a diabetic, so Laresa Boyle, director of coding services at Longview, TX-based Healthcarefirst suggests coding as follows:
730.26 (Unspecified osteomyelitis, lower leg)
041.11 (Bacterial infection, staphylococcus aureus)
V58.62 (Long term (current) use of antibiotics)
V58.81 (Fitting and adjustment of vascular catheter NEC) (the PICC line).