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Diagnosis for Difficult Airway

  1. Default Diagnosis for Difficult Airway
    Medical Coding Books
    Is there an appropriate code to use for difficult airway?

  2. #2
    Location
    Louisville, KY
    Posts
    1,101
    Default Good One!
    Funny that you've brought this up because you see it on ANS services regularly, but I've never been able to find anything (myself) that I felt comfortable with using. Perhaps someone's got a suggestion.

    If not, submit your question to AHA Coding Clinic.

    Good luck.

  3. Default
    I think that would be bundled with the overall anesthesia care. Donna

  4. #4
    Default
    perhaps this will suffice 786.09
    Quote Originally Posted by jgoerlach View Post
    Is there an appropriate code to use for difficult airway?
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  5. #5
    Location
    Louisville, KY
    Posts
    1,101
    Default
    Donna:

    We're talking ICD for the Dx of "Difficult Airway" and yes, typically any charges accrued in relation to that are picked up in the ANS care codes.

  6. #6
    Location
    Minneapolis, MN
    Posts
    19
    Default Difficult Airway
    Our MDA's do intubations/extubations/etc for the reason of "difficult airway" out of the OR (ie: in the ER, the pt room, etc.) and bill as "stand alone" charge, meaning not bundled with other charges. This happens when the ER doc/RT/etc. are unable to intubate or extubate the patient and call the MDA to assist. When these are billed, they are billed with the reason the patient is needing to be intubated, such as respiratory distress, respiratory failure, CHF, cardiac arrest, etc. The typical diagnosis codes that are used are: 427.5, 428.0, 518.81, 786.00 ranges...

    Hope this helps!
    Last edited by LGillstrom; 04-08-2008 at 02:42 PM. Reason: typographical error in the DX codes
    Lisa Gillstrom, CPC, CPBB, HUC
    National Compliance Manager

    himagine solutions inc.
    3109 W. Martin Luther King Blvd., Suite 650, Tampa, FL 33607
    P: 813-331-0645
    lgillstrom@himaginesolutions.com
    www.himaginesolutions.com

  7. Default Dx for difficult airway
    Lisa is correct. There is no code in ICD-9-CM for "difficult airway" - use the diagnosis that is the REASON for the intubation.
    LaSeille

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