I have several encounters where provider states "RESOLVED" in the assessment and also lists the code for the condition/disease as if it were active/current. For example: Left groin pain - R10.30 RESOLVED Call if worse.
My understanding from the guidelines is that when a condition is RESOLVED a code from
"Z08-Encounter for follow-up examination after completed treatment for malignant neoplasm" or
"Z09-Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm" should be used in conjuction with history codes to provide a full picture of the healed condition. The follow up code is sequenced first, followed by history code.
Above scenario would then be recoded as:
Z09 - Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z87.898 - Personal history of other specified conditions.
Is my understanding correct? Thank you for your input.
My understanding from the guidelines is that when a condition is RESOLVED a code from
"Z08-Encounter for follow-up examination after completed treatment for malignant neoplasm" or
"Z09-Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm" should be used in conjuction with history codes to provide a full picture of the healed condition. The follow up code is sequenced first, followed by history code.
Above scenario would then be recoded as:
Z09 - Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z87.898 - Personal history of other specified conditions.
Is my understanding correct? Thank you for your input.