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Reporting mental disorders as additional diagnoses in outpatient setting
ICD-10-CM/PCS Coding Clinic, Third Quarter ICD-10 2020 Page: 33 Effective with discharges: September 8, 2020
Question:
A patient presents to the Emergency Department (ED) for evaluation of a sore throat, which the provider diagnosed as Strep throat. The provider also documented attention deficit hyperactivity disorder, anxiety, manic depression and post-traumatic stress disorder. The physician did not monitor, evaluate, or treat the patient for any mental disorders during the ED encounter. For an outpatient encounter, would mental health conditions be coded when documented in the history section and the patient is currently on antipsychotic medications?
Answer:
No. In this case, the mental disorders were not treated during the current encounter, nor was there any documentation that these conditions affected patient care or management. Unless the provider indicates these conditions (or any other condition) affected the management of the patient during the current visit, the mental disorders would not be coded and reported.
Came across this Coding Clinic.
ICD-10-CM/PCS Coding Clinic, Third Quarter ICD-10 2020 Page: 33 Effective with discharges: September 8, 2020
Question:
A patient presents to the Emergency Department (ED) for evaluation of a sore throat, which the provider diagnosed as Strep throat. The provider also documented attention deficit hyperactivity disorder, anxiety, manic depression and post-traumatic stress disorder. The physician did not monitor, evaluate, or treat the patient for any mental disorders during the ED encounter. For an outpatient encounter, would mental health conditions be coded when documented in the history section and the patient is currently on antipsychotic medications?
Answer:
No. In this case, the mental disorders were not treated during the current encounter, nor was there any documentation that these conditions affected patient care or management. Unless the provider indicates these conditions (or any other condition) affected the management of the patient during the current visit, the mental disorders would not be coded and reported.
Came across this Coding Clinic.