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coding for personal history

  1. Default coding for personal history
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    Good Morning,
    Have a quick question, diag is serous otitis media w/ history of eustachian tube dysfunction. Would it be corrrect to code as follows: 381.3, V12.49 and 381.81, or would the 381.81 overkill? Please help


  2. #2
    Columbia, MO
    381.81 is not a code for hx of a dysfunction therefore if this is not a current dx then do not code this, I disagree with the V12.49 also as otitis media is an infection not a disorder of the central nervous system and sense organs. You just do not code for that.

    Debra A. Mitchell, MSPH, CPC-H

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