Wiki Follow up codes

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kumeena

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Hi Everyone,

What is the ICD 10 diagnosis code for ongoing follow up in Primary care office, still under treatment from specialties.

Ex: Pt has muliple problems (S/P CVA, Seizure disorder, Mental health etc.,) and getting the treatment from speclialty clinics and come to see Primary care every 3-6 months (Periodically chekup)

Z09 Or Z51.8?

Thank you.
 
Hi :),

I would suggest, code the existing conditions only.

Follow up code to be utilized when the condition(s) is(are) completely resolved (treatment has been completed). For such scenarios we have to use "Follow Up" code along with History code for that condition(s).

Note: As per ICD 10 CM coding guidelines- "The follow-up codes are used to explain continuing surveillance following completed treatment of a disease, condition, or injury. They imply that the condition has been fully treated and no longer exists. They should not be confused with aftercare codes, or injury codes with a 7th character for subsequent encounter, that explain ongoing care of a healing condition or its sequelae. Follow-up codes may be used in conjunction with history codes to provide the full picture of the healed condition and its treatment. The follow-up code is sequenced first, followed by the history code.

A follow-up code may be used to explain multiple visits. Should a condition be found to have recurred on the follow-up visit, then the diagnosis code for the condition should be assigned in place of the follow-up code.

Hope this helps! :)

VJ
 
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