Hi there:
I'm stumped!! Patient arrives with a shoulder dislocation suffered while sleeping and having a seizure. He states this has happened before and he with the help of a friend tried to reduce it at home before coming to the ED. The dislocation is reduced by a ortho doc who states recurrent shoulder dislocation as a dx.
My ED notes states shoulder pain as the encounter dx--the ED doctor states dislocation shoulder as a discharge diagnosis yet the ortho doc on his OP note states recurrent shoulder dislocation.
So, what dx code do I use?? 813.01 for a anterior dislocated shoulder with appropriate E codes OR 718.31 for a recurrent dislocated shoulder??
Please advise and thanks
I'm stumped!! Patient arrives with a shoulder dislocation suffered while sleeping and having a seizure. He states this has happened before and he with the help of a friend tried to reduce it at home before coming to the ED. The dislocation is reduced by a ortho doc who states recurrent shoulder dislocation as a dx.
My ED notes states shoulder pain as the encounter dx--the ED doctor states dislocation shoulder as a discharge diagnosis yet the ortho doc on his OP note states recurrent shoulder dislocation.
So, what dx code do I use?? 813.01 for a anterior dislocated shoulder with appropriate E codes OR 718.31 for a recurrent dislocated shoulder??
Please advise and thanks