Primary Care Coding Alert
READER QUESTIONS:
Get Details for Compromised Immune System Dx
Published on Sun May 21, 2006
Question: Our physician is treating a patient following a splenectomy due to MVA in the past. The patient now has a compromised immune system. What is the correct diagnosis for this chronic condition?
Missouri Subscriber
Answer: A patient does not have a compromised immune system simply because his spleen is removed.
Your physician should document the reason he is treating the patient so you can code accordingly. Consider reporting 289.50 (Disease of spleen, unspecified) or 279.3 (Unspecified immunity deficiency) if you don't have more specific information.
Other Articles in this issue of
Primary Care Coding Alert
- Capture Asthma, Diabetes Education a Whole New Way
Your practice could benefit from new patient self-management codes
Because your plate [...] - Take an Extra Step for Infusions Involving Multiple Substances
Warning: Don't report hydration therapy for drug administration fluid
You can avoid submitting a deadly coding [...] - Tried-and-True Tips Turn Denials Into 9921x + 69210 Payments
Experts reveal the diagnoses and modifiers insurers want on cerumen removal, E/M service claims
Payers may [...] - You Be the Coder:
Determining Who an 'Appropriate Source' Is
Question: Parents brought their child to our office to discuss the possibility of ADD. Considering [...] - READER QUESTIONS:
Treat Weight-Loss Referrals as Incident-To
Question: Our clinic's services include a Medifast weight-loss program. One of our PA-Cs sees all [...] - READER QUESTIONS:
Check Diagnosis for I&D for Testicular Pain
Question: Our physician completed a detailed history and exam on an established patient who complained [...] - READER QUESTIONS:
Get Details for Compromised Immune System Dx
Question: Our physician is treating a patient following a splenectomy due to MVA in the [...] - READER QUESTIONS:
Dealing With an H&O Turned Acute Admit
Question: How should I code a stay when the patient is admitted one day for [...] - READER QUESTIONS:
Only Charge the Visit for BP Monitoring
Question: How should I bill Medicare for monitoring a patient's blood pressure for 24 hours? [...] - READER QUESTIONS:
Garner Specifics for Chronic Pain Diagnosis
Question: Which diagnosis should I report for chronic pain?
California Subscriber
Answer: The term -chronic pain- [...] - READER QUESTIONS:
Charging for PPD Reading Varies by Situation
Question: We charge for a PPD placement but historically have not billed for reading the [...] - READER QUESTIONS:
Don't Combine All Hospitalists' Time
Question: We have a group of hospitalists making rounds at different times throughout the day. [...]
View All
