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icd9 decreased rom elbow

  1. Default
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    Your "welwish" is acceptable to some extent. Genarally you cannot take all things that are not put up in the op notes, as assumption; medical necessity , analysing the real merits of the condition with the critical thinking and are also often needed using the more highest specificity of reporting,(when there is adilemma in the assignmentor no straight forward code available; this cannot be labelled as "Assumption Code".
    Well, when it occurs in your mind that it means sense, logical, and above all medically necessary, you CAN ALWAYS clarify politely with your physicians who would not have placed all the needed facts in his fast track.,
    my posts are often of suggestion values, just to ponder whether acceptible. That is why we come to forum to discuss.
    well I am not for arguement any more.
    Any way thank you for a valuable info

  2. Default Decreased ROM
    I Agree with 719.62. Decreased ROM may occur due to many conditions. So we can't assume Stiffness or any other condition.

    Dorwin D, BPT, CPC, CPC-H, CANPC, CPMA
    Certified ICD-10cm Coder,
    Anesthesia coding Specialist,

  3. Default Decreased ROM Elbow
    719.63 it would be the correct diagnosis for Decreased ROM Elbow

  4. Default
    My two cents... Decreased ROM is also known as Limited Range of Joint Motion. I don't have my book or my encoder with me, but I know that limited ROM codes to stiffness of a joint.

    It's true that you don't know the underlying disease process causing the decreased ROM, such as arthritis... but I think by the definitions of decreased ROM/limited ROM (aka, stiffness) and normal/active ROM I don't think an assumption is being made when coding 719.52... which is probably why you're directed to stiffness from limited ROM. You may also see a case example here for coding limited ROM. Search for the term limited range of motion and it will bring you to the correct page.
    Last edited by JMA; 02-20-2015 at 06:34 PM. Reason: adding a reference

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