Wiki Diagnosis Coding Help!

[LaurieJJ]

I need help figuring out the correct dx coding under this scenario

Pt has cellulitis of the leg and has (4 times) tested positive for gram + cocci with identification of MSSA. Hospitalist asks cardiologist to evaluate for possible subacute bacterial endocarditis.

Echo was done day before & is normal.
No evidence of SBE.

What dx code(s) would you use for this consult? (This is a work comp pt BTW for the cellulitis)

 

[Dhaneshmurali]

cellulitis of leg

Hi,

In this scenario no evidence of current subacute bacterial endocarditis and also current visit is primarily for cellulitis of leg with Methicillin-Susceptible Staphylococcus Aureus infection. So we can code 682.6, 041.11.


Regards,

Dhanesh M

 

[LaurieJJ]

What dx to use?

I should have specified...I am coding the prof fee for the Cardiologist consult. Cardiologist is not managing or treating the cellulitis. Still say cellulitis as 1st listed dx?

 

[mitchellde]

Use the V71.7 first listed,

 

[LaurieJJ]

Cardiologist consult - rule out endocarditis

Thanks, I wasn't sure if I could use the V71.7 since the patient is not in observation status & it was a prof fee consult.

Appreciate your help