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Need dx please

  1. Default Need dx please
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    One of my doctor keep using " excessive hunger and excessive urination " for diagnosis. Can anyone help me find the dx for these twe dx ?

    Thank you in advance

  2. #2
    Fayetteville, NC
    Quote Originally Posted by MsMaddy View Post
    One of my doctor keep using " excessive hunger and excessive urination " for diagnosis. Can anyone help me find the dx for these twe dx ?

    Thank you in advance
    How about:
    788.41 frequent urination
    783.6 excessive eating

    Do those sound about right?
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

  3. Default
    I would suggest 788.41 for excessive urination if by that the docotor means the pt is going frequently. Is the excessive hunger maybe a metabolic issue or a psych issue?

  4. #4
    Stuart, Florida
    If you look up appetite in the index, excessive appetite codes to 783.6, unless it states it is of "psychogenic origin".

    polyuria /poly·uria/ (-ūr´e-ah) excessive secretion of urine.

    In medicine, polyuria is a condition usually defined as excessive or abnormally large production and/or passage of urine (at least 2.5 or 3 L over 24 hours in adults). Frequent urination is sometimes included by definition, but is nonetheless usually an accompanying symptom. Increased production and passage of urine may also be termed diuresis.

    Both, Polyuria and Diuresis, code to 788.42.

    Hope this helps!
    Vanessa Mier, CPC

  5. Default
    Sounds like a diabetic patient. However, the codes for the "excessive urination" also know as polyuria would be 788.42. the code for "excessive hunger" would fall in the same category as excessive eating and that code is 783.6

    hope this helps

  6. Default
    I agree with OhynO, Perfect; polyurea and diuresis is the right choice for excessive urination.

    As regards to Excessive Hunger ie Abnormal hunger, hyperphagia, Polyphagia although differ to some extent in their etiology or causative factor, they almost depict the same act and goes for the same outcome.And for coding excessive Hunger, hyperhunger, abnormal hunger, go with the term Hyperphagia, /and or Polyphagia.

    The code is 783.6- Abnormal or increased Appeitite ( as in vol 2)- is the code of Choice
    [ Medical conditions (about more than 70), brian disorders causing hyperphagia( Encephlitis, brain Injury, chromophob eadenoma, craniopharyngioma, some brain Tumors) and some physiological causes
    of overeating and appetite changes like Strenuous exercise Recovery from illness; and other medical conditions like Hyperthyroidism Hypoglycaemia Depression Hysteria Bulimia Klüver-Bucy syndrome Boredom Medications
    Some possible causes of abnormal hunger include: Marijuana - a form of cannabis Cannabis Diabetes - usually if undiagnosed or poorly controlled diabetes Hypoglycemia Hypoglycemic attack Graves Disease Mania Bipolar disease - overeating and excessive appetite when in the manic phase. Intestinal worms Tapeworms Hypothalamic disease. Certain medications - various medications can stimulate appetite ]

    Reporting of underlying causes could be important to support, if known, such as diabetes, Kleine Levin Syndrome (a malfunction in the hypothalamus), the genetic disorders Prader-Willi Syndrome and Bardet Biedl Syndrome can cause hyperphagia (compulsive hunger) OR, non medical conditions like Strenuous Exercise, or Convalescence.
    Watch out if any condition like that suits your case.

  7. Default
    I also think the same polyuria-788.42 and excessive eating and that code is 783.6...

    Nalini CPC

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