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  1. O

    Need help with ICD-9 code

    What code would you use for "abnormal atrial conduction"? EDIT: "Aberrant atrial conduction" used in same note to describe condition.
  2. O

    CPMAs that took the NAMAS training course

    I live in South Florida and NAMAS is holding their CPMA training course down here in October. I was hoping that some of you that have taken the course can give me some information on how valuable it was to your success in achieving your CPMA credential. It is only a 2 day course, which kind of...
  3. O

    How would you code this DX??

    DX: Diabetes mellitus type 2 with exudative macular degeneration How would you code this? Any assistance appreciated. Thanks in advance!
  4. O

    Need help with ICD-9 code

    I need assistance finding a code. DX reads as follows: "Colon reticulosis with disruptive mucosa" Any help is greatly appreciated. Thanks in advance!
  5. O

    Soft tissue mass in the esophageal gastric junction

    Hope everyone had a nice Memorial Day weekend! Unfortunately, it's time to get back to work. I'm hoping someone can help me with this DX, "soft tissue mass in the esophageal gastric junction". I'm not sure what to assign here. It's pending evaluation so, until then, this is the most definitive...
  6. O

    help with icd-9 code because i'm having one of those days

    Should periorbital ecchymosis, due to a fall, be coded as 921.1 or 921.2? Doctor explains that the patient has ecchymosis, periorbital, right side with extension toward the right frontal region. I know that code 921.2 states Contusion of orbital tissues but I was thinking that maybe 921.1 was...
  7. O

    need dx help

    I have a patient that has mild memory loss due to status post basal ganglia intracranial hemorrhage. I'm trying to make certain that I'm assigning the right codes, as this patient is a capped member, reimbursement being HCC based and one of my codes are MRA. Doctor states: "Status post basal...
  8. O

    Help with icd-9 code, please?

    I am finding contradicting answers for a DX code that I needed. I was having trouble finding the appropriate code so I'm going to go ahead and hope that someone here can help me. DX: Cervical myofascial pain I'm finding, both, 723.1 or 729.1 as possible answers. So what do you think? 723.1...
  9. O

    best way to code these DXs?

    I need assistance coding the following: Right eye retinal detachment and hemorrhage with macular degeneration Coding 361.9, 362.81, and 362.50 just doesn't feel right for this situation. It may just be me but are there codes that more specifically encompass this patient's diagnoses?
  10. O

    need assistance with DX

    I need help finding a code for pleural friction rub. I was going for 786.7, but I wanted to be sure that there wasn't a more specific code out there that I am missing. Any help is greatly appreciated. Thanks in advance!
  11. O

    No, seriously... HELP!

    I've questioned before about coding thrombocytopenia and anemia in addition to the MDS code. Basically, I got both answers. Yes, code it and no, don't code it. I'm going to go ahead and try once more for a more definitive answer. I'm hoping that someone familiar with this condition, that...
  12. O

    tubulointerstitial disease?

    I'm looking for a code for Stage III CKD secondary to tubulointerstitial disease. Any assistance would be greatly appreciated. Thanks in advance!
  13. O

    noncompliance with dialysis

    Personally, I don't feel that documentation would support noncompliance. I'm assuming that is, word for word, what was documented. There could be many reasons that someone would miss an appointment. Their car broke down. They had a family emergency. They just plain forgot. This doesn't...
  14. O

    dx for someone who smells bad?

    I'm having trouble finding a code for this diagnosis, "malodorous secretion on occasional basis with no fever and no headaches". The doctor states that the patient comes in complaining of feeling and tasting a malodorous, foul smelling secretion from the nose to her mouth. Can anyone point me...
  15. O

    benign breast nodule?

    I have a note where the doc wrote, "Benign right breast nodule". Since the word benign is stated, should I be coding this with a benign neoplasm code? If not, should I be using code 611.72 or 793.89? The index points to 793.89 for breast nodule, but I don't believe this fits in this case, since...
  16. O

    Primary Raynaud's?

    I have a patient with Raynaud's phenomenon. I see that the code for secondary Raynaud's is 443.0. I'm an extremely curious person and, when a DX arises that I'm unfamiliar with, I sometimes will take the time to learn some information about it. While looking up Raynaud's, I noticed that, while...
  17. O

    how to code? condition + symptom?

    I posted this in the Diagnosis section of the forum, but I am getting no responses. I'm hoping someone can point me in the right direction in this section. Any help would be appreciated. I always ask the questions that get no answers! What's up with that?! Lol
  18. O

    how to code?

    how to code? condition + symptom? Ok, I just wanted to be sure about something. I have a doctor that writes "Myelodysplastic syndrome with anemia" as, say, DX #1. Then DX #2 will be "Anemia secondary to Myelodysplastic syndrome". I was under the impression that anemia is a SYMPTOM of...
  19. O

    In search for ICD-9 code assistance...

    I'm EXTREMELY tired today. I'm having trouble focusing and I need to find a code for a DX that I'm unfamiliar with. Can anyone help me with the code for "cortical kidney nodules"? Any help would be GREATLY appreciated!
  20. O

    HELP PLEASE, Late effects from MVA in 1997?

    I have an encounter for a new 28 year old patient who was involved in an automobile accident in 1997, during which he recieved multiple body injuries including a skull fracture. Apparently, this patient still suffers from quite a few late effects pertaining to his injuries from the MVA. I'm kind...
  21. O

    Help, please? Renal cyst DX

    Ok, I'm doing a bit of overthinking again. If the doctor writes, "renal cyst" as the diagnosis but does NOT specify as aquired or congenital, do we code from the 753 code range or from the 593 code range? If you look in the index, under "cyst", at kidney cyst it refers you to 753.10. I'm unsure...
  22. O

    icd-9 code help - How would you code this?

    DX: Persistent ear congestion How would you code this? The best I could come up with is 388.8, other disorders of ear, which is very vague. I was wondering if anyone could point me to something more specific? Thanks in advance!
  23. O

    Lab Orders... am I totally wrong here?

    My doctors see a lot of patients that are on some type of anticoagulant. We do PTs monthly on these patients but our doctors rarely write orders for the labs. I needed to know how often they have to have these orders in their notes. I tried to explain to my administrator that the doctor writing...
  24. O

    Lab Orders... am I totally wrong here?

    My doctors see a lot of patients that are on some type of anticoagulant. We do PTs monthly on these patients but our doctors rarely write orders for the labs. I needed to know how often they have to have these orders in their notes. I tried to explain to my administrator that the doctor writing...
  25. O

    Lab Orders... am I totally wrong here?

    My doctors see a lot of patients that are on some type of anticoagulant. We do PTs monthly on these patients but our doctors rarely write orders for the labs. I needed to know how often they have to have these orders in their notes. I tried to explain to my administrator that the doctor writing...
  26. O

    Lab Orders... am I totally wrong here?

    My doctors see a lot of patients that are on some type of anticoagulant. We do PTs monthly on these patients but our doctors rarely write orders for the labs. I needed to know how often they have to have these orders in their notes. I tried to explain to my administrator that the doctor writing...
  27. O

    PLEASE help me! Billing department driving me CRAZY!!

    Please help!!!! I'm having problems with our office's biller. This visit is solely to establish care with the patient's newly assigned PCP. ________________________________________________ Vital signs: temp 98.6 b/p 110/60 r 16 p 66 wt 156 Subjective: Pt here to establish care. Pt feels well...
  28. O

    Postmenopausal bleeding vs. bleeding in someone that's postmenopausal

    I have a patient that the doctor documented "Postmenopausal bleeding secondary to uterine fibroids, being followed by gynecologist" for. I feel like 627.1 is not the correct code selection to make for this case because, though 627.1 is for postmenopausal bleeding, the bleeding is being caused...
  29. O

    Postmenopausal bleeding vs. bleeding in someone that's postmenopausal

    I have a patient that the doctor documented "Postmenopausal bleeding secondary to uterine fibroids, being followed by gynecologist" for. I feel like 627.1 is not the correct code selection to make for this case because, though 627.1 is for postmenopausal bleeding, the bleeding is being caused...
  30. O

    probably a stupid question...

    Is it appropriate to use code V45.72, acquired absence of intestine (large)(small), for a patient for whom documentation states "status post partial colectomy secondary to multiple polyps"? I'm hung up on the word "partial" due to the description in my book. For some reason, probably because...
  31. O

    Help, please?

    Does anyone have a list of medically accepted abbreviations or know where I could come by a list like that of some sort? I would really be appreciative if someone could point me in the right direction. We had a problem in our office with the docs and arnp using abbreviations for everything...
  32. O

    Help, please?

    Does anyone have a list of medically accepted abbreviations or know where I could come by a list like that of some sort? I would really be appreciative if someone could point me in the right direction. We had a problem in our office with the docs and arnp using abbreviations for everything...
  33. O

    pessary

    I have a patient that came in for a pessary check-up and cleaning. Is there a V code for attention to pessary or is V53.99 as close as I'm going to find?
  34. O

    help with icd-9 code, por favor?

    Ok, I just wanted to be sure that I am assigning the correct diagnosis code for this encounter. A patient came in asking about Hep B shot. The patient had received 2 of the 3 shots prior but never received the 3rd shot. Assesment states "Hep B immunization evaluation" and plan is to check Hep B...
  35. O

    anteroseptal myocardial ischemia - Cardiology section

    **I posted this in the Diagnosis Coding section of the forum but got no response. I was hoping that maybe someone that follows the Cardiology section may have an opinion for me.** Ok I'm needing a bit of help with how to code a dx. I pulled pertinent info from the note and left out the "blah...
  36. O

    anteroseptal myocardial ischemia

    Ok I'm needing a bit of help with how to code a dx. I pulled pertinent info from the note and left out the "blah blah blah" of it all. subjective: patient comes today for followup. eating and sleeping well. no major complaints. no chest pain. no fatigue. no shortness of breath except for when...
  37. O

    second guessing..

    Ok, sometimes I get to thinking about something and it makes me question whether or not it's getting done correctly. I wanted some input as to how you would all code this situation: Patient comes in for a scheduled injection. Patient does not see the doctor during this visit, only comes in and...
  38. O

    DX code help, por favor?

    Assessment: Solid mass underneath the left axillary area :( Can anyone give me advice on an appropriate code to use for this? The best I could come up with was 786.6 "Swelling, mass, or lump in chest" Localized swelling, mass, lump, trunk I'd feel better about using the code if it just...
  39. O

    DX "Leaky Valve"

    Doctor documented the diagnosis of "leaky valve". Anyone have an appropiate code to use? "Leaky Heart" in the index refers me to "Endocarditis". Should I be using 424.90?
  40. O

    Well adult

    Not often, but on occasion, I come across a note with the only DX being "well adult". In the past, I've always just used the V code for a general med. exam, V70.0, with the E/M cpt to accompany. Does anyone have a better/ more accurate ICD9 code for a "well adult/ healthy adult"? Thanks in...
  41. O

    Help coding - I'm having a bit of an issue with a certain diagnosis

    I'm having a bit of an issue with a certain diagnosis. The physician states "chronic bronchial asthma" as the diagnosis. The code for Bronchial Asthma is 493.90. The code 493.9X also states "Allergic Asthma", "Allergic Bronchitis", and "Asthmatic Bronchitis". There is no code for "chronic"...
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