ckeeney
Guru
I need some input on how to code the following:
Patient was seen by a psychiatrist for audio and tactile hallucinations.
Reported principal diagnosis by the provider is F06.0 - Psychotic disorder with hallucinations due to known physiologic condition.
For the underlying conditions the provider states "status post major surgery, medications, recurrent UTI's". As far as I can find, there is no code for "status post major surgery) nor is there a direct link that the hallucinations are a complication. In the note there is mention of prescribed opioid medications that patient states is not taking. Also in the note there is documentation of prophylactic antibiotics for the recurrent UTI's.
I have reached out to the provider, but any thoughts on how to code this would be appreciated.
Patient was seen by a psychiatrist for audio and tactile hallucinations.
Reported principal diagnosis by the provider is F06.0 - Psychotic disorder with hallucinations due to known physiologic condition.
For the underlying conditions the provider states "status post major surgery, medications, recurrent UTI's". As far as I can find, there is no code for "status post major surgery) nor is there a direct link that the hallucinations are a complication. In the note there is mention of prescribed opioid medications that patient states is not taking. Also in the note there is documentation of prophylactic antibiotics for the recurrent UTI's.
I have reached out to the provider, but any thoughts on how to code this would be appreciated.