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Acute to Swing discharge/transfer diagnosis

  1. #1
    Wenatchee Washington.
    Default Acute to Swing discharge/transfer diagnosis
    Medical Coding Books
    Patient was admited to acute care with a diagnosis of uncontrolled diabetes, then transfered after three days to swing bed.
    The Provider dictated a combination transfer and discharge note for both stays. The diagnosis used was 250.00, Type II or unspecified type, not stated as uncontrolled.
    Per my supervisor the chart was to be taken back to the provider and told that he needed to change the diagnosis' to uncontrolled diabetes for reimbursement reasons.

    My question is; should the provider change the acute stay discharge/transfer diagnosis to uncontrolled diabetes to show the reason for the transfer and continuation of the stay, left the diagnosis of 250.00 for both stays or used 250.02 for both?

    Thank you for your input.
    Last edited by Coder Bradley; 05-21-2010 at 01:45 PM.

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