auntiem57
New
I don't know if you can help with this coding question but I am trying to get an issue solved where I work.
I am an outpatient clinical coder and work in a hospital setting. We have an AIS clinic and patients come in for the epogen injections, I receive my documention through the computer in an orders screen and it says anemia as the dx, although the patient has Chronic Renal Failure the doctor/staff is not stating it in my orders screen. The problem I have been having is that my supervisor wants me to use the anemia in chronic renal failure code because she says the billing office has to have those codes with this type of injections. She wants me to code it that way just because the patient has CRF. I have told her that if it is not documented by the doctor that I can only code for the Anemia and can code the additional CRF code as the secoundary code. We have gone round and round on this issue. Can you point me in the right direction in getting an answer on paper that I can show her?? or am I way off base.
Thank you,
I am an outpatient clinical coder and work in a hospital setting. We have an AIS clinic and patients come in for the epogen injections, I receive my documention through the computer in an orders screen and it says anemia as the dx, although the patient has Chronic Renal Failure the doctor/staff is not stating it in my orders screen. The problem I have been having is that my supervisor wants me to use the anemia in chronic renal failure code because she says the billing office has to have those codes with this type of injections. She wants me to code it that way just because the patient has CRF. I have told her that if it is not documented by the doctor that I can only code for the Anemia and can code the additional CRF code as the secoundary code. We have gone round and round on this issue. Can you point me in the right direction in getting an answer on paper that I can show her?? or am I way off base.
Thank you,