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Croup or Asthmatic croup?

  1. #1
    Default Croup or Asthmatic croup?
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    If the doctor puts croup on the diagnosis line of the ED chart and the history section of the chart notes that the patient has a history of asthma, should I code croup, or asthmatic croup?
    I have also encountered the same situation with bronchitis and asthmatic bronchitis. If the diagnosis given is bronchitis and asthma is in the history, would you code asthmatic bronchitis?
    Thank you.
    I work for a billing company, so I would not query the physician on this.
    Last edited by buckeye56; 01-30-2009 at 07:35 AM.

  2. #2
    Default
    i believe it would code to asthma, if you look under croup there is a code for asthmatic croup which states see asthma. Hope that helps. More than likely, a patient with asthma may be more predisposed to getting croup??
    Pat A. Trautner, CCS/CPC/CEDC/CHONC

  3. #3
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    Albany, New York
    Posts
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    I would go with what is documented....Croup
    Karen Maloney, CPC
    Data Quality Specialist

  4. Default Croup
    Croup is the diagnosis. Asthma is the history - Pt. may have asthma for years, but the pt. doesn't present with asthma today. If audited (I have done Medicare audits) I would expect to see Croup as the correct dx.

  5. #5
    Default Thanks
    I appreciate all your help.

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