Home Health ICD-9/ICD-10 Alert
Consider this Hospice Coding Scenario
PDF
Question: Our patient was admitted to hospice with a terminal diagnosis of end stage renal disease (ESRD) due to type II diabetes. Our focus of care is the ESRD. How should we code for this patient?
Answer: List the following codes for this patient, said Judy Adams, RN, BSN, HCS-D, HCS-O, with Adams Home Care Consulting in Asheville, N.C.
When coding for ESRD due to diabetes you must follow a sequencing rule similar to the etiology/manifestation coding guideline, says Lisa Selman-Holman, JD, BSN, RN, COS-C, HCS-D, HCS-O, AHIMA Approved ICD-10-CM Trainer/Ambassador of Selman-Holman & Associates, LLC, CoDR—Coding Done Right and Code Pro University in Denton, Texas. You can list ESRD as primary when the underlying etiology is unknown, however if the etiology is known, you must sequence the etiology prior to the ESRD.
If the documentation specifies diabetic ESRD and the ESRD is the terminal condition, you must list the diabetes prior to the ESRD according to coding conventions.
ICD-10: If you were coding for this hospice patient in ICD-10, you would report:
Home Health ICD-9/ICD-10 Alert
- ICD-10 Update:
Surprise: ICD-10 Deadline Extended
Don’t let your preparations lag. The pressure is off. In an unexpected turn of events [...] - Hospice Coding:
Master these Coding Basics to Improve Hospice Coding Accuracy
Do you know when your focus of care comes second? Over the last two years, [...] - You Be the Coder:
Watch for New Pressure Ulcer Options in ICD-10
Question: My patient has two pressure ulcers in separate locations (left hip and left buttock) and [...] - Ask the Right Questions When Coding for Hospice Patients
As a hospice provider, you must code thoroughly and accurately for your patients. To help [...] - Consider this Hospice Coding Scenario
Question: Our patient was admitted to hospice with a terminal diagnosis of end stage renal [...] - Reader Question:
Code Thoroughly for E. coli
Question: Our patient has a UTI with E. coli that has developed into sepsis with E. [...] - Reader Question:
Watch for MI Changes in ICD-10
Question: Our patient had an acute myocardial infarction (MI) five weeks ago. She had ventricular fibrillation [...] - Reader Question:
Look to Late Effects Codes for CVA Sequelae
Question: Our new patient is receiving skilled nursing, physical therapy, and occupational therapy following a cerebrovascular [...]