Results 1 to 10 of 10

coding chronic conditions

  1. #1
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    Medical Coding Books
    if the patient was admitted (inpatient status) for the fracture - and he has those chronic conditions mentioned and takes medication for it... he will continue to get his "chronic conditions" meds while inpatient, therefore "IS" being treated for the conditions. The conditions are being taken into consideration and treated during his hospital stay...
    you'd code them all... if being addressed and treated during that stay.
    Donna, CPC, CPC-H

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    I'm saying, that I'd code any condition that is treated that affects their care during that stay. That being said, UNLESS that patient was admitted at a time of day where they had already taken their meds (at home) for their chronic conditions and was then released the next day BEFORE it was time for his medications, I'd find it highly unlikely that any hospital would "not" treat chronic conditions managed by medication during that patients stay.
    and yes, since HTN, and DM affect care and treatment, I'd code them even if that patient was in less than 24 hours and didn't receive meds...
    Donna, CPC, CPC-H

  3. #3
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    you know, I had my answer all typed out and previewed my post when I realized - what "I'd" do, and that answers you're looking for are two different things.
    I'm pretty sure my answer(s), are not going to satisfy your questions.
    Donna, CPC, CPC-H

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Just food for thought.....

    The ICD-9 guidelines instruct us to code chronic problems if they have an impact to the current condition or if the chronic condition is currently being treated along with the current chief complaint.

    Page 70~

    http://www.cdc.gov/nchs/data/icd9/icdguide.pdf

    I agree with Donna when she stated..." I'd code any condition that is treated that affects their care(emphasis mine) during that stay".

  5. #5
    Location
    North Carolina
    Posts
    3,126
    Default
    I thought my reference was referring to that...sounds like we're splitting hairs. I would love for someone else to chime in.

  6. #6
    Default
    In outpatient setting, chronic conditions that are not addressed or assessed should not be picked up. If a pt with HTN presents to the ER for fracture due to a falland the only place that the provider mentions his conditions is in the PFSH, then I would not pick up HTN. I would code the fx, E-code, treatment CPT and E&M. However, if this same HTN pt, was admitted for fx surgery, then I would code HTN, because if you were to look in the flow sheet, and the doctor's orders you will see that they oredered the nurses to give them their medicines. If it is a pathological fx, most defintely, pick up all chronic conditions. Remember, chronic conditions affect the DRG's if inpatient.

  7. #7
    Location
    Loma Linda CA
    Posts
    34
    Thumbs up
    DONNA'S PERCEPTION IS MORE ACCURATE MAYBE HER WORDING IS WHAT YOU DO NOT QUITE GRASP. In the outpatient ER setting you do code for the chronic conditions regardless if they are treated (as w/meds) as they are present and may affect the patients condition and treatment. HTN and DM would always be coded in the outpatient setting. The staff including the physicians take these chronic conditions into consideration when they are administering a particular patients care. Therefore they are a part of their decision making and coordination of care.

    Hope this clears up any confusion if not I will find the Coding Clinic or AMA CPT assistant article pertaing to this particular subject.

    Let me know

    Marybeth CPC

  8. #8
    Location
    North Carolina
    Posts
    3,126
    Default
    I completely agree.

  9. #9
    Default
    So if the provider treats the HTN pt the same as he would a pt w/o HTN (reduce, splint , prescribe vicodin, and submit ortho referral) it is appropriate to pick up the HTN? If so, how, when the management or treatment was not altered b/c of the pt's CC?

  10. Default wound
    I code for the facility side of wound. My question is on chroinic conditions how far back can we code them out? Say a patient is seen in the wound clinic in July and the patient is still being seen 2 months later or longer would you use the chronic conditions from the intial visit?
    thank you,

Similar Threads

  1. coding chronic conditions - attending physician
    By JulesofColorado in forum Diagnosis Coding
    Replies: 1
    Last Post: 01-19-2012, 01:18 PM
  2. Coding chronic conditions
    By PeaPod1 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-26-2010, 05:36 PM
  3. coding chronic conditions
    By donsqueen in forum Diagnosis Coding
    Replies: 0
    Last Post: 03-13-2009, 01:55 PM
  4. coding chronic conditions
    By biancasc in forum Outpatient Facilities
    Replies: 0
    Last Post: 02-24-2009, 10:42 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.