Hi all!
I am probably over thinking this one. As stated above, the doc gave this patient a primary dx of end stage liver disease DUE TO alcoholic cirrhosis of the liver. The active dx list at the time of admission to our program include both chronic hepatic failure, and the alcoholic cirrhosis with ascites as two separate things, nothing end stage, This is the docs primary after review.
So? K70.31? K70.40 (there is no coma) with implied cirrhosis and ascites? Separate codes for the cirrhosis and ascites? (We are a hospice and so there will not be fix-it treatments done but sometimes we do drain ascites as a comfort measure so I think we need to capture this. I could be wrong.)
Anything else I am missing? My head is swimming.
Thanks!
Lynn
I am probably over thinking this one. As stated above, the doc gave this patient a primary dx of end stage liver disease DUE TO alcoholic cirrhosis of the liver. The active dx list at the time of admission to our program include both chronic hepatic failure, and the alcoholic cirrhosis with ascites as two separate things, nothing end stage, This is the docs primary after review.
So? K70.31? K70.40 (there is no coma) with implied cirrhosis and ascites? Separate codes for the cirrhosis and ascites? (We are a hospice and so there will not be fix-it treatments done but sometimes we do drain ascites as a comfort measure so I think we need to capture this. I could be wrong.)
Anything else I am missing? My head is swimming.
Thanks!
Lynn