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Thread: Respiratory Distress Dx

  1. #1
    Join Date
    Apr 2007
    orange, ca

    Default Respiratory Distress Dx

    AAPC: Back to School
    i have a 1 month old baby found to be in acute respiratory distress...should i use the 518.82(specifies for adult) or 770.89(specifies for fetus or newborn) dx code? thx!!

  2. #2
    Join Date
    Apr 2007
    Albany, New York


    If this baby is over 28 days old, I think you have to go with 518.82
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Join Date
    Apr 2007
    Salt Lake


    Remember, the parentheticals are not required elements, which is why the government calls them "nonessential modifiers". Therefore, in the index,

    respiratory (adult) 518.82

    the "(adult)" is an optional element, ie, the patient is not required to be an adult for this code to be correct.

    If the patient is more than 28 days old, that would be the code to use.

  4. #4


    when can we use 786.09 then?
    Please clarify.

  5. #5
    Join Date
    Apr 2007
    Milwaukee WI

    Default 786.09

    786.09 does NOT specify ACUTE respiratory distress.

    518.82 specifies ACUTE respiratory distress.

    F Tessa Bartels, CPC, CEMC

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