Recent content by trinalankford

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    93010 What day of service do you use?

    For 93010, it is the date of the interpretation which oftentimes is different than date of recording. https://www.aapc.com/discuss/threads/correct-billing-for-93010-and-dos.104455/
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    Wiki Help with Sepsis Proteus Mirabilis Due To UTI

    Nobody is probably paying attention to this thread at this late date, but I am going to write, anyway. Yes, there is a "Code First" note at A41; HOWEVER, read through those conditions. That is a very select group of patients who will use one of those diagnoses: T81.4 Postprocedural sepsis...
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    Post tonsillectomy hemorrhage

    I am having difficulty finding the appropriate ICD-10 code for post tonsillectomy hemorrhage. Thank you!
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    Lupus?

    It appears that without any further qualifiers, I am unable to code PMH of "lupus." I do ER coding, and I am finding "lupus" quite frequently in the PMH, but without a qualifier, I'm not sure how to code it. This is what my encoder says: * Anticoagulant * Discoid (local) * Erythematosus...
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    G6PD deficiency?

    I found this thread with ICD-9 codes: https://www.aapc.com/memberarea/forums/showthread.php?t=67748 When coding out G6PD deficiency starting with "deficiency" and then glucose-6-phosphatase, it takes me to either glucose-6-phosphatase deficiency (von Gierke disease) or glucose-6-phosphate...
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    Weeks of gestation with spontaneous miscarriage?

    Is it required to code weeks of gestation when there is a documented spontaneous miscarriage? If not known, code unknown weeks?? Thank you!
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    Weeks of gestation

    I'm hoping someone might be able to shed some light. I've spent quite a bit of time researching this, and it is so early in the ICD-10 process, I really am not finding anything. I've been instructed by a lead coder to NOT code the weeks of gestation if it is stated as "estimated,"...
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    Postpartum condition versus complication?

    Coding guidelines state that ANY condition being treated during pregnancy is to be defaulted to a pregnancy complication, i.e., It is the provider's responsibility to state that the condition being treated is not affecting the pregnancy. As regards postpartum conditions, the guidelines state...
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    Obstetric codding in icd 10

    I found this on an OB "cheat sheet" in AAPC: Patient with monochorionic twin gestations presents with ultrasound indicating polyhydramnios of twin A (fetus 1). She is 30 weeks gestastion. O40.3XX1 Polyhydramnios, third trimester, fetus 1 Z3A.30 30 weeks gestation of pregnancy Here is the link...
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    Periprosthetic fracture AND prosthesis dislocation

    My diagnosis is posterior hip dislocation with periprosthetic greater trochanter fracture. I have a code for a periprosthetic fracture of the hip, right, initial, (T84.020A) and a code for prosthesis dislocation of the hip, right, initial (T84.040A). Do I use both, or is there a better code...
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    AAPC's Online Course for ICD10...A Question

    I completed the AAPC ICD-10 proficiency course in September 2014 and entered the appropriate information into my CEU tracker. However, when I click on my account now, it shows the ICD-10 proficiency course as "incomplete." :confused: Is there some place else that I can check on my profile to...
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    Wiki "Infected laceration repair"

    Patient presents to ED with knee pain and swelling, S/P laceration repair 3 days ago. Clinical Impression is "infected laceration repair, right knee." From what I'm reading (granted, it is an ICD-9 Coding Clinic), the coder "should assume that the wound is the problem and the source of the...
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    Detailed (?) extremity exam with 1995 guidelines

    Thank you so much for your help!!
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    Detailed (?) extremity exam with 1995 guidelines

    There isn't a lot of information out there about this, at least that I can find. Here is my exam, and I'm trying to figure out if this justifies a "detailed" extremity exam. VS: (documented but not reiterated here). GENERAL: (documented but not reiterated here). RESP: (documented but not...
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    Detailed (?) extremity exam with 1995 guidelines

    There isn't a lot of information out there about this, at least that I can find. Here is my exam, and I'm trying to figure out if this justifies a "detailed" extremity exam. VS: (documented but not reiterated here). GENERAL: (documented but not reiterated here). RESP: (documented but not...
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