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Dx code

  1. Default Dx code
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    When a doctor gives a dx of symptomatic inguinal hernia, can I code for the hernia or just the symptoms. The word symptomatic has me stumped. '


  2. #2
    Greeley, Colorado
    Hernia - that is what's causing the symptoms.
    Lisa Bledsoe, CPC, CPMA

  3. Default
    Inguinal Hernias are mainly categoried Symptomatic, Asymptomatic. Medically classified as reducible ,irreducible; incarcerated/impacted ,strangulated or gangrenous.

    The symptomatics are with pain with deferrent range of levels, persisting in the same place at same size or increasing, infected, incarcerated/impacted, strangulated or gangrenous.
    The asymtomatics are without any symptom/sign as stated above, lying quiet there, just present there, or goes in and out of the inguinal ring( reducible).

    The "asymptomatics" can be totally asymptomatic, or minimally asymptomatic- meaning, not giving much problems, and patient can go on with a normal life style and tolerate on patient's perspectives; and the doctor can aslo wait with a "WATCHFUL EXPECTANCY', MEANING, HE CAN WAIT TILL ANY INTERVENTION CLINICALLY NEEDED.

    The "symptomatics" need/can not wait on patient's and Physician's perspectives(clinical scenerio) and needs some/most of the time intervention,even, sometimes, goes for acute life/organ rescuing emergency situations like strangulation/gangrene.

    But having said that, it does not mean we don,t have to interfere with the asymptomatic scenerio- it is all about councelling,making them compliant, fit for the surgery because e at one /or some point in thier life, they need to go for surgery.- this can be at thier request or option of time and convenenience or onset of symptoms and so on. However it is not a bad idea to have it done when they can(giving merit for the benifit of the patients welbeing.)

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