donformica
Guest
Hi all,
I have a patient record that shows a history of tonsillitis.
The Physician states his Impression is Acute tonsillitis, but in the same entry it shows a strep culture (screening) was done and the prelim report is positive for strep. (this is documented in Dr. notes for same day)
May I use icd-9 code 034.0 or should the strep infection and tonsillitis be coded separate? The notes above 034 in the tab indicate I can. I should also mention that the Dr. documented enlargement of the tonsils which I think rules out code 463.
Thanks in advance to any who can clarify,
Ray Formica CPC student
I have a patient record that shows a history of tonsillitis.
The Physician states his Impression is Acute tonsillitis, but in the same entry it shows a strep culture (screening) was done and the prelim report is positive for strep. (this is documented in Dr. notes for same day)
May I use icd-9 code 034.0 or should the strep infection and tonsillitis be coded separate? The notes above 034 in the tab indicate I can. I should also mention that the Dr. documented enlargement of the tonsils which I think rules out code 463.
Thanks in advance to any who can clarify,
Ray Formica CPC student
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