Results 1 to 4 of 4

Additional codes required?

  1. #1
    Location
    Paducah Kentucky
    Posts
    16
    Default Additional codes required?
    Medical Coding Books
    We are having difficulty getting the information from our physicians for the "additional codes" and "code first" instructions in the ICD-9 manual. We are finding we have to just file without an additional code. Is anyonoe else having this problem? At this point, insurance companies are paying the most of these without these first or additional codes, so is this required or only suggested if the applicable information is available?
    An examples: Cellulitis codes: 682._(used addition code to identify organism) or Diabetes with neurological manifestations 250.6_( use additional code to identify manisfestation)

  2. #2
    Location
    Harrisburg
    Posts
    20
    Default secondary diagnoses
    In the case of the cellulitis the additional code is only required if the organism is known. If a culture was not done prior to antibiotic therapy, the organism may not be known and therefore there is no additional code to be reported.

    In diabetic coding, the neurologic manifestation should be known. If it is not documented, I would query the physician for more information.

  3. #3
    Location
    Paducah Kentucky
    Posts
    16
    Default
    so since this is not required with cellulitis if the organism is not known, does that mean the notation in ICD-9 to code additional for all codes --- is NOT REQUIRED, just suggested?

  4. #4
    Location
    Harrisburg
    Posts
    20
    Default additional code
    I wouldn't term any "use additional code" note in the ICD-9-CM as only a suggestion. If you know the information, it is mandatory to report it. However, many infections are treated with a broad spectrum antibiotic rather than performing a culture, so the exact organism is not known making it impossible to assign an additional code.

Similar Threads

  1. Hypertension and the use of additional codes
    By 01089886 in forum ICD-10
    Replies: 1
    Last Post: 10-08-2015, 07:20 PM
  2. Using additional codes with obstetric accounts.
    By tharal in forum Diagnosis Coding
    Replies: 2
    Last Post: 07-08-2014, 10:57 AM
  3. MDM- "additional workup required" scoring
    By let.forever.be in forum Auditing General Discussion
    Replies: 0
    Last Post: 02-06-2013, 09:46 AM
  4. Additional Codes??
    By Jessheartz in forum Diagnosis Coding
    Replies: 1
    Last Post: 03-27-2012, 05:48 PM
  5. REV codes/ CPT/HCPCs codes required?
    By Bsivera in forum Billing/Reimbursement
    Replies: 0
    Last Post: 03-21-2012, 10:28 PM

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.