-
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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Jehovah witness and pre operative tx
- Thread starter lsmft
- Start date
JulesofColorado
Expert
I'm going to take a stab at this.
According to the Faye Brown Coding Handbook:
"Patients are often referred to hospital ancillary services for preoperative evaluations that involve a variety of tests performed in various departments. Patients may also be referred for preoperative blood typing. In this situation, one of the following codes is assigned, with additional codes for the condition for which surgery is planned and for any findings related to the preoperative evaluation: "
§ V72.81**Preoperative cardiovascular examination
§ V72.82**Preoperative respiratory examination
§ V72.83**Other specified preoperative examination
§ V72.84**Preoperative examination, unspecified
§ V72.86**Encounter for blood typing
I suggest V72.83 for the preop, plus code for the condition for surgery and V64.2, Surgical or other procedure not carried out because of patient's decision.
According to the Faye Brown Coding Handbook:
"Patients are often referred to hospital ancillary services for preoperative evaluations that involve a variety of tests performed in various departments. Patients may also be referred for preoperative blood typing. In this situation, one of the following codes is assigned, with additional codes for the condition for which surgery is planned and for any findings related to the preoperative evaluation: "
§ V72.81**Preoperative cardiovascular examination
§ V72.82**Preoperative respiratory examination
§ V72.83**Other specified preoperative examination
§ V72.84**Preoperative examination, unspecified
§ V72.86**Encounter for blood typing
I suggest V72.83 for the preop, plus code for the condition for surgery and V64.2, Surgical or other procedure not carried out because of patient's decision.
RebeccaWoodward*
True Blue
Have you looked at V62.6? (it's a 2ndry dx only, though)
daedolos
Expert
Any Jehovah's Witness update for ICD 10-CM?
Peace
?_?
Peace
?_?
cgaston
True Blue
Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
daedolos
Expert
BLumetta
New
I reviewed this code also. The refusal of blood products is the Jehovah's Witness' preference based on religious beliefs. This has to be discussed prior to surgery. If the procedure/treatment has occurred then the provider would have agreed to proceed without the use of this product. That also means "procedure or treatment not carried out" does not apply.
There is no current code for this the same as there is no code for something like "patient requests a hemiarthroplasty rather than a total hip replacement." This is simply informational but not coded. In either case, blood or other procedure, the provider and patient had a discussion and all are in agreement with the care plan.