Our facility has a debate on when O995** codes should be assigned. For example, pregnant patient, 18 weeks, presents with nasal congestion, headache and ear fullness...denies any cough, chest pain, shortness of breath, fever, chills, dizziness, or changes in bowel or bladder function. Provider stated "I do not feel that patient needs an antibiotic due to lack of signs of infection and pregnancy risks related to antibiotic use and said to use OTC meds." Diagnosed patient with Seasonal Allergic Rhinitis. Codes assigned were O99512 & J302. Would this be considered a "disease of the respiratory system complicating pregnancy?" (Just below description of O995** is a blurb that says Conditions in J00-J99). Provider didn't indicate the rhinitis was or was NOT complicating the pregnancy so I think this is where the confusion is.
Any insight would be appreciated
Any insight would be appreciated