When a patient is admitted to determine the extent of a malignancy or for a paracentesis or thoracentesis the?

When admission is for the management of dehydration due to malignancy or therapy and only dehydration is being treated the dehydration is coded first followed by the code S from the malignancy?

Management of dehydration due to the malignancy: When an encounter is for management of a complication associated with a neoplasm, such as dehydration, and the treatment is only for the complication, the complication is coded first. 4.

When do you use history of malignancy from category Z85?

When a primary malignancy has been previously excised or eradicated from its site, there is no further treatment (of the malignancy) directed to that site, and there is no evidence of any existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former …

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When an encounter is for pain management due to the malignancy what code should be sequenced first?

Code 338.3 is used to classify pain related to, associated with, or due to a tumor or cancer whether primary or secondary. This code is used as the principal code when the admission or encounter is for pain control or pain management. In this case, the underlying neoplasm should be reported in addition.

How will you code dehydration in malignancy?

When the admission/encounter is for management of dehydration due to the malignancy and only the dehydration is being treated (intravenous rehydration), the dehydration is sequenced first, followed by the code(s) for the malignancy.

Can we code consistent with diagnosis?

Do not code diagnoses documented as “probable”, “suspected,” “questionable,” “rule out,” “compatible with,” “consistent with,” or “working diagnosis” or other similar terms indicating uncertainty.

When do you not code a condition as a complication?

Expected Outcome Cannot Be Coded as Complication

If it is not clearly documented, the coder should query the physician for clarification (ICD-9-CM Coding Clinic, First Quarter 2011).

When is it appropriate to use history of malignancy?

Cancer is considered historical when: • The cancer was successfully treated and the patient isn’t receiving treatment. The cancer was excised or eradicated and there’s no evidence of recurrence and further treatment isn’t needed. The patient had cancer and is coming back for surveillance of recurrence.

Who was not required to switch to ICD-10-CM codes?

A: Just as with ICD-9-CM, there is no national requirement for mandatory ICD-10-CM external cause code reporting. Unless a provider is subject to a state-based external cause code reporting mandate or these codes are required by a particular payer, reporting of external cause codes in ICD-10-CM is not required.

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Can Z codes be listed as a primary code?

Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter. … A corresponding procedure code must accompany a Z code to describe any procedure performed.

When do you code chronic pain?

In order for you to assign these codes, the physician must document that the pain is acute, chronic, or neoplasm-related. The ICD-10-CM guidelines state that if the cause of the pain is known, you should assign a code for the underlying diagnosis, not the pain code.

What are the 4 cooperating parties that agree on coding principles?

Members of the four “Cooperating Parties” responsible for the ICD-10-CM/PCS and ICD-9-CM Coding Guidelines, which includes AHIMA, the American Hospital Association, the Centers for Medicare and Medicaid Services (CMS), and the National Center for Health Statistics, will continue to approve the official set of rules …

When a patient is admitted for observation for a medical condition?

As an observation patient, you may be admitted after the care starts, or you may be discharged home, or you may receive other care. In short, you are being observed to make sure the care is best for you – not too short or too long.