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ICD9 question

  1. #1
    Default ICD9 question
    Exam Training Packages
    "Leg Fluid Collection?"

  2. Default
    You can check with your doctor to see if "leg fluid retention" would be what he means, if so you could look at code 276.6

  3. Wink Leg Fluid Collection?
    This descriptor looks more like a procedure than a diagnosis. Like the aspiration of an abscess or aspiration of an ankle, knee joint or bursa.

    What caused the fluid build up in the leg?

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    I like cw2506's choice. I looked at edema (782.3)...

    Edema:

    Excludes:
    ascites (789.51-789.59)
    edema of:
    newborn NOS (778.5)
    pregnancy (642.0-642.9, 646.1)
    fluid retention (276.6)
    hydrops fetalis (773.3, 778.0)
    hydrothorax (511.81-511.89)
    nutritional edema (260, 262)


    Plain English Description™:
    Select this code to report nonspecific edema, or a swelling due to an accumulation of fluid beneath the skin.

    If this is all that's documented, I'd go with 276.6, too.

  5. #5
    Default Thank You
    Thanks All -

    It is a swelling from fluid accumulation.

    Quote Originally Posted by rebeccawoodward View Post
    I like cw2506's choice. I looked at edema (782.3)...

    Edema:

    Excludes:
    ascites (789.51-789.59)
    edema of:
    newborn NOS (778.5)
    pregnancy (642.0-642.9, 646.1)
    fluid retention (276.6)
    hydrops fetalis (773.3, 778.0)
    hydrothorax (511.81-511.89)
    nutritional edema (260, 262)


    Plain English Descriptionâ„¢:
    Select this code to report nonspecific edema, or a swelling due to an accumulation of fluid beneath the skin.

    If this is all that's documented, I'd go with 276.6, too.

  6. #6
    Location
    Birmingham, Alabama
    Posts
    889
    Default
    This is an interesting delima.
    If you look up fluid retention, 276.6, and look under the exclusion notes, you will see "localized edema". I would think leg fluid collection would be considered "localized". So, I would be inclined to use 782.3 or even 782.2 (localized superficial swelling, mass, or lump).

    Also, considering that 276.6 is listed under "metabolic and immunity disorders" specifically related to electrolyte and acid base balance would argue against a local and superficial problem.

    As is so often the case, clarification from the physician would be helpful.

    HTH
    Danny L. Peoples
    CIRCC,CPC

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