Orthopedic Coding Alert
Remember Code First Note on Arthropathy
Question: If a patient suffers from shoulder arthropathy as a result of sickle cell disease with crisis, how should you choose the appropriate ICD-10 code? Missouri Subscriber Answer: First, know that you’ll need a pair of diagnosis codes to represent these patient’s ailments. The first code you’ll need is for the sickle cell disease, not the arthropathy. Then, you’ll need to check the notes for more specifics on both the diagnoses. For the sickle cell disease, you’ll choose one of the following codes, depending on encounter specifics: Then, you can choose one of the following codes for the shoulder arthropathy: Explanation: When you look at the text below the header for the M14.8- (Arthropathies in other specified diseases classified elsewhere) code set, ICD-10 notes: “Code first underlying disease, such as:
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