Results 1 to 4 of 4

In need of QA

  1. #1
    Location
    Greater Atlanta Professional Coders
    Posts
    63
    Default In need of QA
    Medical Coding Books
    A 36 year old woman with a history of asthma for 10 years came in with increased shortness of breath and coughing. She is three months pregnant. A thorough exam was done including fetal monitoring. She was treated with inhalers and was discharged. Final diagnosis: acute exacerbation of COPD.

    I coded 59022-TC

    786.05, 493.22, V22.2

    Do I need to code for the asthma inhaler?

  2. #2
    Location
    Columbia, MO
    Posts
    12,531
    Default
    Unless the documentation supports that the current condition is not affecting the management of the pregnancy, you should not use V22.2. You should use a 648.93 first listed and then your acute exacerbation of the COPD. Look in the coding guidelines. The use of the V22.2 must be documented by the physician, :
    Chapter 11 codes have sequencing priority over codes from other chapters. Additional codes from other chapters may be used in conjunction with chapter 11 codes to further specify conditions. Should the provider document that the pregnancy is incidental to the encounter, then code V22.2 should be used in place of any chapter 11 codes. It is the provider’s responsibility to state that the condition being treated is not affecting the pregnancy.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    Greater Atlanta Professional Coders
    Posts
    63
    Default
    Ok I got that point, but do I code for the inhaler treatment?

  4. #4
    Default
    use the exacerbation of COPD code.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.