Help please....with RSD

LTibbetts

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Physician states "Reflex sympathetic dystrophy AND chronic pain". Should I code the chronic pain seperate from this? When I go through 3M it sends me right through to the 337.22 code. Does the code itself imply chronic pain?
 

mitchellde

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When you look at the pain guidelines it tells you when the visit is for pain control or pain management then you need to code the pain code as documented first-listed and the definitive dx second. So even though yes the pain is inherent in the dx we are to code it separate if the visit is for pain control.

Debra Mitchell, MSPH, CPC-H
 

LTibbetts

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Ok, thanks Debra. It was an inpatient with cellulitis, RSD, chronic pain from the RSD treated with ongoing narcotic therapy, lymphedema, acute lymphangitis and chronic venous stasis w/chronic skin ulcers...so many issues on board. Apparently, the pain was an issue during patients stay so I just wanted to be sure.
 
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