sara4044
New
Looking for a little help on those who have encountered patients with an injury necessitating a rabies series. My questions are on the follow up visits for the second, third etc, rabies shots.
Person seen in ED for animal bite, patient given first shot in rabies series
primary dx coded is: S81.852A Open bite, left lower leg, initial encounter
secondary dx coded is: W54.0XXA Bitten by dog, initial encounter
On the next visit three days later, the diagnosis coded by an outside agency, was Z23 Encounter for Immunization.
HPI states seen on XX-XX-XXXX for dog bite, presents for 2nd rabies immunization. No C/Os wound healing w/o complication. No s/s infections.
PE extremity exam is positive for Other, healing wounds L upper and lower extremities. Lower extremity with surrounding resolving ecchymosis. No S/S infection.
Primary Impression: Need for Rabies Vaccination
Additional Impression: Visit for wound check.
Wouldnt the initial diagnosis S81.852 come into play over the Z23, with the appropriate letter (D) indicating this was a follow up visit? I am having a hard time finding support or information on this so maybe someone else can provide some assistance? Or point me to more specific information on this topic?
Thanks for any help!
Person seen in ED for animal bite, patient given first shot in rabies series
primary dx coded is: S81.852A Open bite, left lower leg, initial encounter
secondary dx coded is: W54.0XXA Bitten by dog, initial encounter
On the next visit three days later, the diagnosis coded by an outside agency, was Z23 Encounter for Immunization.
HPI states seen on XX-XX-XXXX for dog bite, presents for 2nd rabies immunization. No C/Os wound healing w/o complication. No s/s infections.
PE extremity exam is positive for Other, healing wounds L upper and lower extremities. Lower extremity with surrounding resolving ecchymosis. No S/S infection.
Primary Impression: Need for Rabies Vaccination
Additional Impression: Visit for wound check.
Wouldnt the initial diagnosis S81.852 come into play over the Z23, with the appropriate letter (D) indicating this was a follow up visit? I am having a hard time finding support or information on this so maybe someone else can provide some assistance? Or point me to more specific information on this topic?
Thanks for any help!