kwatson0
Networker
Can someone help with Anemia, Provider stated stable anemia D64.9 continue Iron Medication, Auditor states I should use history of (Z86.2) and I disagree . What are your thoughts?
Assessment /PlanWhere was it documented as stable?
Thank you,patient was diagnosed 3 months ago, Provider did not state chronic am I missing a guideline?Anemia is a chronic condition. The patient's anemia appears stable as there appears to be no change in the treatment regimen based on what you provided. The patient is still being treated with iron. The condition still exists rather than a history of. Unless I missed a guideline change, based on what you provided above, the condition is still coded as a current chronic condition,
dniece70 gave an excellent concise response.Thank you,patient was diagnosed 3 months ago, Provider did not state chronic am I missing a guideline?
Thank you I agree don't know why I was dinged by auditor , how would you look at Anemia if D64.9 DOCUMENTED TO Assessment no mention of stable but states Hemo in house labs normal. Would you consider that hx of?dniece70 gave an excellent concise response.
I would say, though, that whether the anemia is chronic or not, it is still an active condition. The fact that the provider called it "stable" and pt is to continue taking iron supplements, show that it is active and not a hx of.
Sorry continue OTC ironThank you I agree don't know why I was dinged by auditor , how would you look at Anemia if D64.9 DOCUMENTED TO Assessment no mention of stable but states Hemo in house labs normal. Would you consider that hx of?
I, also, don't know why you would have been dinged. I would question the auditor (if possible). they might have been having an 'off' day, auditors are human, too.Thank you I agree don't know why I was dinged by auditor , how would you look at Anemia if D64.9 DOCUMENTED TO Assessment no mention of stable but states Hemo in house labs normal. Would you consider that hx of?
If the provider only documented "stable anemia", the only code that would be appropriate would be D64.9. D50.9 is not supported by the documentation provided.Hi KWatson
I agree with all above but why use dx D64.9 better to use D50.9 Iron Deficiency Anemia? I do not agree using dx Z86.2 history code unless provider stated in the past and cured. Pt still taking meds means still has the condition of Iron Deficiency . I think auditors can make mistakes too.
Lady T
but we, as coders, cannot use medication to assign a code.Hi
Ok but the provider is giving the patient Iron Deficiency medications per note above.
Lady T
Nailed it!but we, as coders, cannot use medication to assign a code.
I might query the provider, in this situation, but a coder could not assign Iron Deficiency anemia, if the documentation only states "stable anemia, continue iron medication"