Failed oral iron

[lillianivy]

A pt has failed oral iron. And that is all that is documented. They have IDA and will be receiving Injectafer. Is this coded as:

D50.9 - IDA
T45.4X5S - Adverse effect of iron and its compounds sequela

or

D50.9 - IDA
K90.4 - Malabsorption due to intolerance NEC

Documentation only states failed oral iron.

Thank you,
Lydia

 

[mitchellde]

There is not enough documentation for coding.

 

[kimmyrummer@hotmail.com]

This is not enough information. The physician should be queried. Documentation needs to state specifically how the patient failed oral iron.
Kimberly, COC, CPC, CHONC