PCS:
Your Provider's Transfusion Notes Must Specify Body Part, Approach, Substance, and Qualifier
Published on Thu Dec 06, 2012
Check out how many PCS options you have without detailed information. Notes describing the simple transfusion of red blood cells might direct you to an ICD-9 procedure code right now, but without details, you'll have dozens of potential ICD-10-PCS codes in 2014. Here's what your provider's documentation needs. Scenario: The physician notes "Transfusion of Red Blood Cells, Leukocyte Reduced." The medical record indicates the patient has received treatment for myelodysplastic syndrome pancytopenia secondary to anemia. The discharge summary and progress notes document the transfusion of blood. First, Examine ICD-9 Procedure Codes The ICD-9 Code system provides codes for Transfusion of Blood and Blood Components (99.0 Series) with respect to type of transfusion (e.g. transfusion of packed cells, platelets, coagulation factors, other serum etc.). Therefore, the existing clinical documentation supports both the transfusion and clinical indicator as red blood cells, which leads to accurate code in ICD-9 as: 99.04 -- Transfusion of [...]