Home Health ICD-9/ICD-10 Alert

Published on Fri Feb 22, 2008 PDF

Optional columns offer case mix opportunities.

If you're still getting used to M0246 or if you're new to home health coding, this step-by-step guide will help you navigate the OASIS diagnosis code reporting process.

Column 1: Enter the narrative description of the diagnosis.

Column 2: Enter the ICD-9-CM code for the diagnosis and rate the severity of the condition listed in Column 1 as follows:

0 -- Asymptomatic, no treatment needed at this time

1 -- Symptoms well controlled with cur-rent therapy

2 -- Symptoms controlled with difficulty, affecting daily functioning; patient needs ongoing monitoring

3 -- Symptoms poorly controlled; patient needs frequent adjustment in treatment and dose monitoring

4 -- Symptoms poorly controlled; history of re-hospitalizations

Column 3: (Optional) If a V code reported in Column 2 replaces a case mix diagnosis, list the description and ICD-9-CM code of the appropriate case mix diagnosis in the same row in Column 3. Otherwise, leave Column 3 blank in that row.

Column 4: (Optional): If a V code in Column 2 replaces a case mix diagnosis that requires multiple diagnosis codes under ICD-9-CM coding guidelines, enter the diagnosis etiology/underlying diagnosis and ICD-9-CM code in the same row in Column 3. Also list the case mix manifestation diagnosis code and ICD-9-CM code in the same row in Column 4. Otherwise, leave Column 4 blank.