ICD 10 Coding Alert
Look to This Code That Covers Both Conditions
Question: An established patient with rheumatoid heart disease and rheumatoid arthritis (RA) of the wrist reported to the orthopedist for a checkup of the condition. The provider performed a level-three evaluation and management (E/M) service. I know to report 99213, but what is the best ICD-10 code(s) to capture this condition? My colleague says M05.30- along with M06.82-, but I’m not so sure. Any thoughts? Mississippi Subscriber Answer: You were right to pause at this decision. The best ICD-10 code for your 99213 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity …) claim is one of the following, depending on encounter specifics: Explanation: It is redundant to report M05.30- (Rheumatoid heart disease with rheumatoid arthritis of unspecified site) and M06.82 (Other specified rheumatoid arthritis, elbow) for this patient, as there is a single diagnosis that provides a better snapshot of the patient’s condition.
ICD 10 Coding Alert
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