tarabella_2006
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Good evening friends,
Scenario 1 : Inpatient EM Dx coding. How many Dx pts should a coder give for Inpatient Subsequent visit (Ex: CPTs 99231, 99232, or 99233) established problem: Diabetes w/hyperglycemia-IMPROVED (ICD 10 CM: E11.65)?
** Is this 1 improved established condition ---diabetes w/ hyperglycemia manifestation improved (1 pt)?
** 2 stable/improved established conditions --- diabetes, hyperglycemia (total 2pts)?
** A worsening established condition ---diabetes considered worsening because hyperglycemia manifestation is still present -regardless of improved status (2 pts)?
** 1 stable established condition (diabetes), 1 worsening established condition (hyperglycemia) (3 pts total)?
Scenario 2 : Inpatient EM Dx (established problems). How many Dx points should a coder give for IMPROVED Diabetes w/Foot ulcer E11.621 and then the addtional L97.4__ or L97.5__ for the type of foot ulcer?
Scenario 3: Inpatient EM Dx (established problems), How many Dx points should a code give for IMPROVED Hypertension w/ CKD (I12._), Diabetes w/CKD E11.22, and then the addtional N18._ for the type of CKD?
Here are the resources I have reviewed so far but it is difficult to find anything that gives clear guidance.
ICD 10 CM Section 1.A.15
ICD 10 CM Section 1. B. 2, 9, 12
CPT EM guidelines (for inpatient EM not the new outpatient EM)
https://www.palmettogba.com/palmetto/jmb.nsf/DID/8EELEQ4075 the local MAC involved
Any thoughts, resources, would be much appreciated.
Thanks!
Scenario 1 : Inpatient EM Dx coding. How many Dx pts should a coder give for Inpatient Subsequent visit (Ex: CPTs 99231, 99232, or 99233) established problem: Diabetes w/hyperglycemia-IMPROVED (ICD 10 CM: E11.65)?
** Is this 1 improved established condition ---diabetes w/ hyperglycemia manifestation improved (1 pt)?
** 2 stable/improved established conditions --- diabetes, hyperglycemia (total 2pts)?
** A worsening established condition ---diabetes considered worsening because hyperglycemia manifestation is still present -regardless of improved status (2 pts)?
** 1 stable established condition (diabetes), 1 worsening established condition (hyperglycemia) (3 pts total)?
Scenario 2 : Inpatient EM Dx (established problems). How many Dx points should a coder give for IMPROVED Diabetes w/Foot ulcer E11.621 and then the addtional L97.4__ or L97.5__ for the type of foot ulcer?
Scenario 3: Inpatient EM Dx (established problems), How many Dx points should a code give for IMPROVED Hypertension w/ CKD (I12._), Diabetes w/CKD E11.22, and then the addtional N18._ for the type of CKD?
Here are the resources I have reviewed so far but it is difficult to find anything that gives clear guidance.
ICD 10 CM Section 1.A.15
ICD 10 CM Section 1. B. 2, 9, 12
CPT EM guidelines (for inpatient EM not the new outpatient EM)
https://www.palmettogba.com/palmetto/jmb.nsf/DID/8EELEQ4075 the local MAC involved
Any thoughts, resources, would be much appreciated.
Thanks!
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