If you are coding for the physician services, the ICD guidelines state, "list additional codes that describe any coexisting conditions," and "code all documented conditions that coexist at the time of the encounter/visit or affect patient care treatment or management."
If you are coding for the facility, UHDDS suggests, "all conditions that coexist at the time of admission, that develop subsequently or that affect the treatment received and/or the length of stay" should be coded. Those diagnoses that impact the following require:
* Clinical Evaluation
* Therapeutic treatment
* Diagnostic procedure
* Extended LOS
* Increased nursing care/monitoring.
The coding of traumatic fractures guidelines indicate the coder should assign an acture fracture code "while the patient is receiving active treatment for the fracture."
Hope this helps.
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