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Thread: Dx Code

  1. #1
    Join Date
    Apr 2007
    Fort Wayne, IN

    Default Dx Code

    AAPC: Back to School
    What code is appropriate to use for subtheraputic dilantin level? Also I have seen subtheraputic depakote as well, especially if a patient is noncompliant with their meds.


  2. #2
    Join Date
    Apr 2007
    Hartford, CT


    i think the fact that they are non compliant should cover the scenario.

    also they probably have a medical diagnosis that goes along with non compliant scenario, i.e. this happens to my nephew all the time, he is subtherapeutic which is why he is having a seizure. So he goes to the ED, the doc orders a level, it is usually because he is noncompliant with med.
    Last edited by ptrautner; 01-26-2009 at 06:44 PM.
    Pat A. Trautner, CCS/CPC/CEDC/CHONC

  3. #3
    Join Date
    Apr 2007
    Fort Wayne, IN

    Cool Still confused

    What if a patient is not a noncompliant person, which is usually the case?

  4. #4
    Join Date
    Apr 2007
    Kokomo, IN

    Default dx

    You may have to go with a very generic abnormal clinical findings 796.4. I have always been told not to code noncompliance unless that is clearly documented, because as you say, sometimes medication just doesn't work or they don't have the right dose yet etc.

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