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Thread: Pelvic pain - Can somone help me

  1. #1

    Default Pelvic pain - Can somone help me

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    Can somone help me with a diagnosis code for pelvic paid secondary to fall?

    Thanks!

  2. #2

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    719.45

  3. #3

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    Quote Originally Posted by JCampbell View Post
    Can somone help me with a diagnosis code for pelvic paid secondary to fall?

    Thanks!
    If it is female it is 625.9. If male, then 789.09.

  4. #4

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    Is there any reason to code the fall also?

    Thanks!

  5. #5
    Join Date
    Apr 2007
    Location
    Columbus GA
    Posts
    570

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    You should code the fall also if you have enough information

  6. #6

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    Hi,
    I agree 625.9-Female and 789.09-Male and code fall also...

    Regards,
    Nalini CPC

  7. #7
    Join Date
    Apr 2007
    Location
    Stuart, Florida
    Posts
    331

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    I'm actually going to go with srinivas and lean towards the 719.45 code for pain in joint, pelvic region and thigh due to fall. I feel like 789.09, abdominal pain, other specified site , and 625.9, unspecified symptom associated with female genital organs, would be better suited for pelvic pain due to an internal cause (like ovarian cyst or abdominal pain of suspected colonic origin, for example) rather than for an external cause like our case here.

    Hope this helps.
    Vanessa Mier, CPC

  8. #8

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    Thank you Vanessa!

  9. #9

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    Quote Originally Posted by ohn0disaster View Post
    I'm actually going to go with srinivas and lean towards the 719.45 code for pain in joint, pelvic region and thigh due to fall. I feel like 789.09, abdominal pain, other specified site , and 625.9, unspecified symptom associated with female genital organs, would be better suited for pelvic pain due to an internal cause (like ovarian cyst or abdominal pain of suspected colonic origin, for example) rather than for an external cause like our case here.

    Hope this helps.
    I respectfully disagree. You cannot "assume" it is muskuloskeletal just because it states fall. The diagnosis for pelvic pain in a female is 625.9 and in a male is 789.09. You cannot assume that the patient just fell or if they fell over something hitting their abdominal area. With what was just given to us was pelvic pain due to fall. Nowhere does it state anything that would make you code 719.45... you do not have enough information to make that assumption.

  10. #10
    Join Date
    Apr 2007
    Location
    Stuart, Florida
    Posts
    331

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    I'm going to stick to my answer and respectfully disagree with you, eadun.

    You can say the same thing about you assuming that 625.9 and 789.09 are the correct codes. There is more than one code for pelvic pain, one of them being 719.45. 789.09 is the code for abdominal pain in the pelvic area. 625.9 is a code used for pain associated with female genital organs. The patient COULD have fell forward onto a chair and hit themselves in the abdomen, making your code assignments correct. However, your logic is no less assumption. In fact, I do not feel that my code selection was based on assumption but, rather, based on deduction.

    Basically, the best way to be sure would be to query the physician in this case, which I thought I suggested in my earlier post. It seems that I left that out so, let me say it now. If you are unsure about a DX and you have the opportunity to query the physician, by all means, do so.
    Last edited by ohn0disaster; 05-03-2011 at 02:54 PM. Reason: had to tweak my answer
    Vanessa Mier, CPC

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