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Correct Codes To Use For a Diagnosis

  1. Default Correct Codes To Use For a Diagnosis
    Medical Coding Books
    I was having a discussion with another coder on the correct codes for a diagnosis. We differ on on whether or not to use one of the codes. Any suggestions on the correct codes will be greatly appreciated.

    DIAGNOSIS: Syncope due to hypersensitivity to antidepressant medication (Initial encounter)


    Codes Option #1:
    R55
    T88.7xxA
    T43.205A

    Codes Option #2
    R55
    T43.205A

    Thank you,

  2. Default
    Code Option #2, imo

    You do not need the T88 code since the reaction IS specified

  3. #3
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    Sarasota FL
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    Default Correct codes to use for a diagnosis
    Quote Originally Posted by beverly0048 View Post
    I was having a discussion with another coder on the correct codes for a diagnosis. We differ on on whether or not to use one of the codes. Any suggestions on the correct codes will be greatly appreciated.

    DIAGNOSIS: Syncope due to hypersensitivity to antidepressant medication (Initial encounter)


    Codes Option #1:
    R55
    T88.7xxA
    T43.205A

    Codes Option #2
    R55
    T43.205A

    Thank you,
    I did respond to this question earlier today but I don't see my response anywhere.
    I say option #1. If you look at your ICD-10 book it says to 'code also' for the drug responsible for the adverse reaction when coding T88.7, and use 5th or 6th character 5 (adverse reaction). By using all three codes you are giving the complete picture...what happened when the patient took the drug (syncope), what type of reaction it was (hypersensitivity), and what drug caused the reaction (antidepressant). Without T88.7 you are omitting 33% of the information.
    Neither option is incorrect, but option #1 is the most correct.

  4. Smile
    Option 1 is the one I used.
    Thanks so much for all of your input.
    Beverly

  5. #5
    Location
    Columbia, MO
    Posts
    12,915
    Default
    you do not code the T88.7xxA when you know what the reaction is. That is the code for unspecified adverse reaction. The 6th character in the code T43.205A indicates that this is an adverse reaction... hypersensitivity is the documentation indicator that this is an adverse reaction and the syncope is the reaction. the T code for adverse reaction is secondary so the
    R55
    T43.205A
    is the correct choice

    Debra A. Mitchell, MSPH, CPC-H

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