how to use d46.z (flollowing d46.4)

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Dear Sir/Madam,

I'm so confusing about if MD has diagnosis Other myelodysplastic syndrome. I will code D46.Z but why next this dx has (following D46.4). Someone please help me how to use these dx. Should I code only one D46.Z or I code both D46.Z and D46.4? Thank you very much.
Best regards,
Thu Tran
CPC
 

pamtienter

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how to use d46.z (following d46.4)

Your question isn't clear: Has the MD given you the diagnosis of D46.Z for Other myelodysplastic syndromes and also D46.4 for Refractory anemia? Did the MD specify what the other myelodysplastic syndrome was that the patient also had? If, in addition to the refractory anemia, another is specified and there isn't a specific code for it in the D46.- category, then they can both be coded. If refractory anemia is the only syndrome documented, or if the other specified syndrome is the only one documented, then you'd only need D46.4 or D46.Z.
 
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I got it. MD just gave dx Other myelodysplastic syndrome only. Thank you very much Ms. Pam Tienter.
Best regards,
Thu Tran
CPC
 
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