I know that follow-up visits for resolved conditions are to be coded with the follow-up code (typically Z09) and then the history code for the now-resolved condition.
My question is:
Here are a few examples of what I mean, where I am unsure of how you would code / sequence these...
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4. Patient is seen in follow-up for:
COPD exacerbation
Exacerbation has resolved. COPD is stable.
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I am not having any luck finding guidance on this, so I really appreciate any help you can give!! Thank you!!
My question is:
How do you code / sequence codes for a visit that includes BOTH resolved AND ongoing and/or chronic conditions?
Here are a few examples of what I mean, where I am unsure of how you would code / sequence these...
- Patient is seen in follow-up for:
B/l foot pain due to an injury
Sleep disorder due to shift work
The sleep disorder has resolved because the patient switched their shift at work, but the foot pain continues as the injury is still healing.
------------------------------ - Patient is seen in follow-up for:
URI
All URI symptoms have resolved. Patient mentions dysuria and is given antibiotics for UTI.
--------------- - Patient is seen in follow-up for:
Final wound check from laceration
Hypertension (already diagnosed - chronic)
Wound is completely healed. Hypertension is stable.
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4. Patient is seen in follow-up for:
COPD exacerbation
Exacerbation has resolved. COPD is stable.
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I am not having any luck finding guidance on this, so I really appreciate any help you can give!! Thank you!!
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