• 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.
  • We’re introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Primary ICD plus "supporting ICD's"


Best answers
Exp: When we see a patient for a fractured wrist, and the patient happens to have diabetes, and also on long-term anticoagulant use, should we be coding these two condtions, not because we are treating them, but because the conditions could have an effect on the fracture care provided, or healing ability, etc. ?

Also, if a patient has osteoarthritis of the knees, and has a body mass index over 40, should we be coding the ICD's for morbid obesity and the V-code to measure the BMI, as the weight could have an effect on the knee treatments, (we are not treating the obesity).

If a patient has a history of cancer, regardless of where or what kind, should we also be coding that ICD, in addition to the orthopaedic reason we are seeing the patient for?

Would these addtional ICD's help us in our level of OV, or help prevent us from being down-coded in audits? Thanks so much, Mary Mmadrigal@hawaii.rr.com


Best answers
I would think yes, but I would only do that if your provider mentions these contributing conditions. If they affect how the patient is treated, they will help you from being down coded in an audit due to the medical decision making being higher, because the patient is at a higher risk.