inpatient claim

  1. C

    Wiki Surgery after Inpatient Fall

    I am very new to Inpatient coding and need some help please! We had a patient come to our hospital for a Right Total Knee Arthroplasty. Two days later, during his inpatient stay, he had a fall in the hospital and landed on his knee, splitting open his surgical knee wound. He was brought to the...
  2. K

    Wiki Questions regarding Medicare billing secondary to VA (for inpatient Medicare Part A claims)

    Hello, all! I've been tasked with researching four questions related to Inpatient Part A claims where patient has either VA & traditional Medicare Part A, or VA and Medicare HMO/Medicare Advantage. I have limited experience with VA, so any input you can offer is appreciated. Thank you! 1)...
  3. C

    Wiki inpatient neuro consult

    I am coding for a neurologist that is doing consults at the hospital. He has been seeing several patients that are showing no brain activity. I am stuck on the MDM part of the equation for the E/M. Obviously it is a high level for the 'table of risk' but for the 'number of...
  4. B

    Wiki 99222 and 32555?

    Help! I'm hoping someone may be able to shed some light on a billing question I and my boss have. :) We admitted a patient on 12/27/17 for Shortness of Breath (R0602), Abnormal Coagulation Profile (R791), Sepsis (A419), Hypokalemia (E786), Essential Hypertension (I10), Thyrotoxicosis (E0590)...
  5. K

    Wiki Coding adverse effects of drug for Inpatient claims

    A patient was admitted to the hospital for urinary retention, likely secondary to opiates though possibly anticholinergics (according to physician documentation). The hospital billed R33.0- drug-induced urinary retention as the Primary diagnosis (PDX). Another reviewer suggested the PDX should...
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