Wiki Suicide attempt diagnosis

[haleyhoffman]

I am coding the profee side for inpatient behavioral health. I have one provider who list suicide attempt as resolved on every note but the discharge summary and of course I cannot code resolved diagnoses. Has anyone else been seeing providers mark a diagnosis as resolved on every note but the discharge summary even though that was the reason for admission. If so, how do you handle these situations? I am skeptical on just coding the suicide attempt on the discharge summary and I don't agree with it being marked as resolved on the initial note since that is why the patient was brought here...thoughts?

 

[SharonCollachi]

A suicide attempt is an action. How can that action be "resolved"? It happened, and you cannot un-happen it. Maybe the depression (or whatever symptom causing it) has resolved, but not the attempt itself.

 

[csperoni]

Maybe the provider is trying (unsuccessfully) to communicate that it is not an active problem, but rather history of. I would consider Z91.5 instead of T14.91A/D/S.
If I had to make a guess from past experiences, this is occurring because the provider does not know the best way to use the EHR system. I would make an attempt to educate the provider, or put them in touch with the right people.