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2 Coding questions

  1. Question 2 Coding questions
    Medical Coding Books
    1. I am new at coding in a hospital, I had been in a specialty office. When the ED dx is sore throat or pharyngitis do I really use 462 - Acute pharyngitis? 784.1 - throat pain excludes sore throat but I feel like I am changing the dx by using the acute code.

    2. I know that if I get a diabetic code for neuropathy like 357.2 I need to also have 250.6x, but if I get 250.6x without a manifestation, can the 250.6x stand alone? I mean this for any of the diabetic codes with manifestation.

  2. Smile 2 replies!
    I think you are correct going with 462. This is listed under sore throat in both the index and the tabular sections.

    For diabetes w/manifestations I believe you always need to specifiy the manifestation after the 250.xx code for all complications related to DM.

    Hope this helps.

  3. #3
    Columbia, MO
    I would need to see the statement by the ER physician for the pharyngitis code, for the diabetes the manifestation code is required when you use the fourth digit indicating manifestation.

    Debra A. Mitchell, MSPH, CPC-H

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