• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Hospital Consult Question

Create Wiki
T

tcoder5

Networker
Messages
56
Location
Ellicott City, MD
Best answers
0
If an oncologist performs a consultation on day 1 of inpatient stay & the patient has acute renal failure & rectal bleeding but 2 days later, after testing, the pt has a dx of colon cancer would you code dx for symptoms for the 1st & 2nd day & colon cancer dx for 3rd day subsequent visit? Thanks for any help. I am new to hospital visit coding.
 
You would code the symptoms when that is all you know so for day 1 and 2 you did not know the patient had cancer so the symtoms are all you can code. Day 3 when the provider documents the cancer you may code the cancer. Or if you are coding for the physician on day 3 and you have the path report that states a dx of cancer then you may code the cancer, even if the physician has not yet documented it. Once you code the cancer you do not code the symptoms that were the indicators for the testing.
 
That is what I thought. Thanks for the confirmation. By any chance, do you have any other information that might be helpful for coding hospital visits? Thanks again!
 
You must log in or register to reply here.
Top