diagnosis

  1. L

    Wiki Coding Query

    Hi all....Can someone help me to understand if a patient comes with failure of a humidifier in a sleep apnea device and he had sleep apnea condition. How to code the diagnosis part in this scenario ? Do we need to code mechanical complication followed by sleep apnea condition? Thank you.
  2. C

    Wiki OP-notes - Postoperative diagnosis vs Findings (Practicode)

    I'm finally logging into my practicode subscription on a consistent basis and practicing ICD-10-CM selection. Which section of an OP note is best to use for DX selection? Findings or Post op Diagnosis? It seems like Practicode selects findings most often. How is it in the real world? In the...
  3. L

    Wiki Echo read at hospital need payable dx

    Our cardiologist reads echos (93306) done at the hospital and many times we are given a diagnosis that is not on the LCD. One question I have is if we cannot get paid for reading the echo with the given diagnosis, can the facility get paid with the same diagnosis just because they are billing...
    • lorrieb23
    • Thread
    • 93306 diagnosis diagnosis needed echo hospital
    • Replies: 0
    • Forum: Cardiology
  4. J

    Wiki Hospitalist OP ICD10-CM assignment question

    I am doing the billing (99221-99239) for our hospitalist that see our patients in the hospital and am unclear when deciding the ICD-10CM codes to use... if the patient's admitting diagnosis are different than the subsequent visit diagnosis and different than the discharge diagnosis, how do I...
    • jsmooney6219
    • Thread
    • admitting codes diagnosis hospitalist patients
    • Replies: 3
    • Forum: ICD-10
  5. C

    Wiki Aspiration syndrome

    The patient is an adult and one of the diagnosis is the above. I did a query to the provider as to identify what the patient aspirated on, The provider's response was oral secretions. The patient also had pneumonia as one of the diagnosis listed. I am not sure how to code the aspiration...
  6. Y

    Wiki Medicare Mammogram Diagnosis Z12.31 or Z12.39

    I just received a notice that the diagnosis we used for a routine annual mammogram Z12.31 is not billable under Medicare. What diagnosis code should be used?
  7. K

    Wiki Rhogam Injection Diagnosis code

    What is the ICD 10 diagnosis code for Prophylatic Rhogam injection. Cross walk for V07.2 is Z41.8. I don't feel comfrotable to use this code. Thank you.
    • kumeena
    • Thread
    • code comfrotable diagnosis injection rhogam
    • Replies: 2
    • Forum: OB/GYN
  8. K

    Wiki New to Chrio Coding

    Hi there, I am new to chiropractic coding. I understand that if it is an established patient you can not code an E/M level and a manipulation on the same day if it is the same diagnosis as before. My question is the Chiropractor I code for almost every time has an office level visit and a...
    • kmccard
    • Thread
    • code diagnosis e/m level manipulation
    • Replies: 1
    • Forum: Chiropractic
  9. H

    Wiki Billing OVs with Medicare injections for Orthopedics

    For Orthopedics, For Visco supplementation injections which occur once a week for 5 weeks with the same diagnosis code, can an OV be billed on each visit? The physician does document a physical exam, but the diagnosis code is osteoarthritis. Thanks
  10. G

    Wiki Icd 10 code for tonsillar ectopia

    Please advise diagnosis code used for tonsillar ectopia. Thank you.
  11. S

    Wiki Needing ICD 10 code for opioid induced constipation

    I cant find a ICD 10 code for opioid induced constipation - any suggestions? This is what I CAN find? K59.09 Other constipation T40.2X5 Adverse effect of other opioids T40.2X5A is a specific ICD-10-CM diagnosis code T40.2X5A …… initial encounter T40.2X5D is a specific ICD-10-CM diagnosis...
    • SheryM
    • Thread
    • code constipation diagnosis icd-10-cm specific
    • Replies: 1
    • Forum: Diagnosis Coding
  12. Z

    Wiki Rectus Sheath Hematoma Code

    Does anyone know the ICD-10 code for a "rectus sheath hematoma?" I need help with coding for this diagnosis.
  13. E

    Wiki Routine Foot Care

    My group has started receiving denials for 11055-11057 (Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus)). I've reviewed the updated LCD with ICD10 diagnosis listed and was very surprised to find that L84 (Corns and callosities) is not listed as a covered diagnosis anymore...
    • Emmalia
    • Thread
    • anymore codes covered diagnosis listed
    • Replies: 6
    • Forum: Podiatry
  14. L

    Wiki Coding History

    Per our physician, he states that on a visit that we can pull diagnoses from medication lists and active problem lists even if he does not assess or document anything to do with those diagnoses. For example, he states to look at a medication and pull down the diagnosis that goes with it as a...
  15. D

    Wiki Need help with diagnosis coding for VNG

    Need some help with Diagnosis Code for VNG testing. At this practice we have always used R42 as diagnosis for this test. Recently UPMC has starting denying the claims because the diagnosis is not medically necessary. Can someone please help me with what code would be medically necessary?
  16. M

    Wiki Diagnosis Coding - 3 degenerative joint disease

    I am working on Practicode. I have a note which says that the pre-op diagnosis is a torn lateral meniscus of the right knee. The post-op diagnosis is grade 3 degenerative joint disease of the primary knee. Am I supposed to code both in this case? Also, I have another question. Am I supposed to...
  17. N

    Wiki "Extended post-viral bronchial hyperresponsiveness"

    I need help. The patient does not have Asthma and I cannot locate anything that resembles this diagnosis! Can any help me? Would the provider code the symptoms only since it's "post"???
    • nmor013
    • Thread
    • diagnosis post provider resembles symptoms
    • Replies: 1
    • Forum: ICD-10
  18. C

    Wiki Vaginal Delivery at 21 weeks nonviable.. diagnosis code

    I need assistance choosing the correct diagnosis. I would appreciate if you guys can help. patient was admitted for having abdominal pain, her diagnosis was preterm labor, the next day patient had vaginal bleeding, membranes were noted in the vaginal vault. tocolysis was initiated a. due to...
    • CODING1234
    • Thread
    • delivery diagnosis nonviable patient vaginal
    • Replies: 0
    • Forum: OB/GYN
  19. T

    Wiki ESRD clarification

    Hello! I understand that ESRD requires dialysis, but is it appropriate to assign a dialysis status code with out the mention of dialysis on the DOS? The physician list diagnosis as ESRD, but there is no mention of dialysis.
  20. L

    Wiki Child Abuse diagnosed as an adult

    Our PA recently saw a 54 year old women who recently discovered that she was sexually abused as a child for approximately two years. The PA coded the note with T74.22XA (Confirmed victim of sexual abuse in childhood, initial encounter) since the diagnosis was new to the patient's chart and to...
  21. B

    Wiki Florid Epithelial Hyperplasia

    My surgeon did a breast biopsy on a patient. The pathology report has the diagnosis as Florid Epithelial Hyperplasia with questionable focus of atypia. Can someone please help me find an ICD10-CM code for this diagnosis? Thanks.
  22. K

    Wiki Coding w/o a pathology

    Patient referred to our oncologist with a solitary pulmonary nodule, no pathology. The physician has entered a cancer diagnosis into the patient's EMR. She states that this is a clinical diagnosis based on her findings and patient history. I have advised her against this in the event that...
    • KMayercsik
    • Thread
    • diagnosis diagnosis coding medical records request pathology patient
    • Replies: 6
    • Forum: Diagnosis Coding
  23. J

    Wiki Z86.79 - Duration of previous Diagnosis?

    Hello! Please, we're a little stumped on this one. A "personal history of" code explains a diagnosis that a. no longer exists and b. the patient is not getting any treatment for BUT c. could reoccur and therefore requires monitoring. Is there a rule on how much time has to pass before a...
  24. K

    Wiki Oversew of anorectal ulceration

    Hello, all. I'm hoping someone can assist as the only thing I can come up with is an unlisted code. Any insight would be appreciated..... Preoperative Diagnosis: Rectal bleeding Postoperative Diagnosis: Anorectal ulceration Description: The patient was seen at bedside with bleeding from the...
  25. D

    Wiki 2 ICD 10 codes that are the same code different meaning

    When billing out a claim and they have the same diagnosis code but with different meaning, can you bill for them both even though they are the same?
  26. N

    Wiki Diagnosis coding for neoplasms that aren't biopsied

    Hi there, I work in a family practice office and recently had a case occur where the doctor looked at a "mole" and determined it to be a benign neoplasm by its appearance. For diagnosis coding, since the physician is certain it's benign, would you use the benign neoplasm code? Or since there...
    • nbuck
    • Thread
    • benign code coding diagnosis neoplasm
    • Replies: 3
    • Forum: Dermatology
  27. A

    Wiki E/M Leveling

    When coding for outpatient physician visits do i consider the diagnosis Z23-incounter for immunization as a diagnosis for the overall leveling of the e/m code??
    • Ajones2015
    • Thread
    • diagnosis e/m immunizations leveling physician
    • Replies: 2
    • Forum: E/M
  28. T

    Wiki Help with Diagnosis

    What would be the best icd 10 code for psychogenic unresponsiveness?
  29. G

    Wiki Code symptom or history code first?

    Just curious. Does it matter if we code the history code or the symptom code first. No other diagnosis code is use. Thanks.
  30. D

    Wiki 73564 denial

    hi I am new to orthopedic and I keep getting a denial for 73564 RT with diagnosis S80.01XA indicating diagnosis inconsistent with procedure, any advice would help, thank you Laura
  31. T

    Wiki provisional diagnosis of autism

    I'm not sure what diagnosis to assign to this outpatient office visit, mental health department. Provider states: "Provisional diagnosis, F84.0, autism" in his assessment. In looking up definition of provisional, it states "for the present, possibly to be changed later." I'm uncertain if...
    • tag60
    • Thread
    • assessment code diagnosis provisional visit
    • Replies: 1
    • Forum: Diagnosis Coding
  32. C

    Wiki Surgery for malunion of fracture

    Procedure is ORIF of extra-articular distal radius ( 25607) Diagnosis is right comminuted distal radius fracture with partial malunion. I am still unsure how to code for these, when pt is getting surgery. According to the fracture coding guidelines, all diagnosis for surgery should be coded...
    • Ccgerson
    • Thread
    • diagnosis distal fracture radius surgery
    • Replies: 1
    • Forum: Orthopaedics
  33. A

    Wiki Coding diagnosis from EKG

    We are having a debate in my office. We have 2 doctors that read EKGs for the hospital, we charge their professional fee. With ICD-10, we are having to request coding attestations from the hosptial in order to code to the most specific diagnosis. My office manager wants to know why we can't code...
  34. A

    Wiki Dx: Gluteal Fistula Tract - Acute on chronic Code?

    Can I use K60.3 for this diagnosis? Dx: Gluteal Fistula Tract
  35. P

    Wiki DIAGNOSIS for FIBULAR NECK FRACTURE

    Need help please...does anyone have a direction for me for a fibular neck fracture? There is no tibia involved and I'm not finding a code.
  36. B

    Wiki Secondary diagnosis of neoplasm with primary diagnosis of parotid gland (C07)

    Received denial from insurance stating can not bill C77.0 with C78.00 due to Excludes1 note and I agree however can I change C77.0 to C77.9 even when I know the site of the malignancy?
  37. T

    Wiki Cigna denying F1220 as admitting dx code

    I work at an inpatient facility for substance abuse and my claims for residential level of care are making it through my clearinghouse, but being blocked by the payer CIGNA stating that the "admitting diagnosis code: invalid for payer." The code DSM 5 Description for F1220 is for Cannabis use...
  38. M

    Wiki Need help for a diagnosis of "Trauma. Pain."

    Can someone respond who can support their recommendation on this question? I need the diagnosis for this lumbar x-ray, there were no findings, it was a normal L-spine. The reason for the exam is documented as "Trauma. Pain." The patient had other films done that day (shoulder, arm, hip...
  39. A

    Wiki Need help with Dx's Code

    Hi, What would be the proper diagnosis code for lesions of the left nose and lower lip? I thought about using 709.9 but am not sure. Thanks. aferris86
  40. T

    Wiki ? dx lymph node axillary region

    What dx code would you use for a lymph node in the exilary region? The report doesn't mention that it's enlarged.. Thanks!!
  41. T

    Wiki adnexal cyst.. dx code...??

    What dx code would you use for a adnexal cyst?
  42. S

    Wiki Coding for Risk Adjustment (HCCs)

    When pulling diagnosis information for risk adjustment from outpatient/physician notes, there is some confusion whether or not to code diagnoses that are listed in PMH. CMS guidance is vague, at best. Arguments include: - Code everything listed in the PMH because if the doctor put it in PMH the...
  43. N

    Wiki V65.49 vs V72.83

    My gyn/oncs often see patients a few weeks after surgery to begin planning their chemotherapy. We bill the E&M with the 24 modifier since they are not seeing them for anything related to surgical aftercare but planning for treatment of the underlying condition. We have been using V65.49 but I...
  44. D

    Wiki ER Visit: Chief Complaint vs. 1st Diagnosis as primary?

    Hi Everyone! A provider initially billed the following: 99284 Diag #1: 465.9 ACUTE URI UNSPEC Diag #2: 787.03 VOMITING ALONE Because of their contract, this prompted us to pay them a particular amount that's lower than a regular "emergent visit." They then billed us again, and...
  45. M

    Wiki Discharge Question

    I have a patient whose surgery was performed by one physician and was then discharged by another. Can I bill for this, and if so do I need a modifier? The diagonsis for the surgery and the discharge diagnosis are different. Thanks.
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