FLSJarrel
Networker
Okay, here's another one. How would you code these for a Psychiatrist:
Impression: In summary, the patient is an unfortunate 79 year old, female without known prior psychiatric history, who presents with depressive symptoms associated with severe debilitating medical problems, including chronic pain syndrome for which an SNRI antidepressant, Cymbalta, would be a better treatment option for her depressive symptoms.
Diagnosis:
Axis I:
1. Pain Disorder due to spinal mass & degenerative spinal disease.
My question is this: in the impression he states the patient has chronic pain syndrome 338.4 while under the Diagnosis he states Pain Disorder which is not listed in the ICD-9 index under neither Disorder, pain or Pain, disorder. But with an encoder comes up with 307.89. Which would be the better choice?
Then adding 733.90 for spinal mass & degenerative spinal disease.
Thanks for any ideas or thoughts.
Impression: In summary, the patient is an unfortunate 79 year old, female without known prior psychiatric history, who presents with depressive symptoms associated with severe debilitating medical problems, including chronic pain syndrome for which an SNRI antidepressant, Cymbalta, would be a better treatment option for her depressive symptoms.
Diagnosis:
Axis I:
1. Pain Disorder due to spinal mass & degenerative spinal disease.
My question is this: in the impression he states the patient has chronic pain syndrome 338.4 while under the Diagnosis he states Pain Disorder which is not listed in the ICD-9 index under neither Disorder, pain or Pain, disorder. But with an encoder comes up with 307.89. Which would be the better choice?
Then adding 733.90 for spinal mass & degenerative spinal disease.
Thanks for any ideas or thoughts.