heartyoga
Guru
I need help clarifying some coding convention. We sometimes encounter physician reports that says "diastolic dysfunction" on echocardiograms. We have a coder that takes coding seminars literally and we need clarification. Typical conclusions for echo include: mild aortic regurgitation, mild to moderate mitral regurgitation, left atrial enlargement, diastolic dysfunction.
Our coder looked it up on ICD10Data.com and on I51.9 Heart Disease, unspecified under similar conditions is diastolic dysfunction.
Our coder insists that we are undercoding if we don't put I51.9 in. Our physician says that in patients 65 and older, diastolic dysfunction is almost always present.
We feel like we already have aortic regurgitation, mitral regurgitation and left atrial enlargement (cardiomegaly) as diagnosis. Putting in I51.9 for the sake of matching "diastolic dysfunction" and for the sake of "not undercoding" is wrong and confusing. Why would you put heart disease, unspec as if the valve disorders are not enough?
I can understand that some coding software lumps diastolic dysfunction as I51.9. To add to the complication, if patient has hypertension, then we would need to add hypertensive heart disease.
Help because this is not making sense at all.
Thanks.
Our coder looked it up on ICD10Data.com and on I51.9 Heart Disease, unspecified under similar conditions is diastolic dysfunction.
Our coder insists that we are undercoding if we don't put I51.9 in. Our physician says that in patients 65 and older, diastolic dysfunction is almost always present.
We feel like we already have aortic regurgitation, mitral regurgitation and left atrial enlargement (cardiomegaly) as diagnosis. Putting in I51.9 for the sake of matching "diastolic dysfunction" and for the sake of "not undercoding" is wrong and confusing. Why would you put heart disease, unspec as if the valve disorders are not enough?
I can understand that some coding software lumps diastolic dysfunction as I51.9. To add to the complication, if patient has hypertension, then we would need to add hypertensive heart disease.
Help because this is not making sense at all.
Thanks.