Hi All!
I realize this may seem really simple to most of you, and maybe I'm just "brain blocked" on this matter, but I hope someone can help! I am a seasoned CPC and CCS BUT a newbie "CDIS" and am "auditing" documentation of already billed charts, selecting those that need 're-addressing. I have a question about how to code a "pneumonia" diagnosis for an inpatient stay, which may or may not impact the DRG, so need to know that too! The sputum culture reports both "gram negative anaerobes" (482.81) and "trace E coli" (481.82); do I code both? Does it matter? This is a Medicare patient, though i guess that's obvious as i chose this forum! ![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Thanks!
Thanks!