Question ALS and symptoms

nlbonn

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I'm new to Neurology coding/auditing. I am seeing that ALS affects people differently so i wasn't sure if it was appropriate to code for the ALS (G12.21) along with w/e main symptoms they're being treated/assessed for at an individual encounter.
Thanks for any help!!
 

Bernadette10

Networker
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From the ICD 10 guidelines - I wouldn't code symptoms unless they're not routinely associated with ALS, or if there's not a definite diagnosis and the symptoms are the only thing documented.
5. Conditions that are an integral part of a disease process
Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by the classification.
6. Conditions that are not an integral part of a disease process
Additional signs and symptoms that may not be associated routinely with a disease process should be coded when present.
 
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