Wiki BPH 600.00 vs 600.01

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mkm1517

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Scenario: Male pt comes to PCP for annual PE w/ complaints of urinary urgency & frequency. He has tried a couple different BPH meds but none have been effective. Would this be coded to 600.00 or 600.01?

My thinking: I was using 600.01 if the pt had controlled BPH symptoms on meds but then started having the symptoms return (a worsening of the condition). The urgency & frequency are part of the initial disease process and therefore should not be coded.

What are your thoughts? I appreciate your time & help. Thanks much!
 
just from what you've posted, I don't see where it states he has BPH at all. I only see urgency and frequency. You do state he's been on BPH meds, I'm not sure exactly what those are, but - are they used for other issues as well? (often meds are used for other than their primary reason because they've been found to help other issues - you know what I mean?). So, in short - unless it specifically states he has BPH without obstruction and LUTS (600.00) or BPH with obstruction and LUTS - I wouldn't code either ..
I'd code the urgency 788.63 and frequency 788.41. big difference between BPH and urinary urgency or frequency....
 
Sorry I wasn't very clear. The dr gave dx of BPH. I coded 600.00 but the auditor is trying to tell me I should have coded 600.01. The record does not say what previous meds were tried, just that meds were tried in past without successful treatment. Hope this helps to clear up the situation/question.
 
if the documentation supports BPH with LUTS (if the doctor specifically states the patient is having urgency & frequency)- I'd code it as such.
600.01
788.63
788.41
:)
 
600.00 vs 600.01

What if they only mention symptoms and no obstruction? Can I sill use 600.01?

thank you
Joanna
 
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