Coding to the highest level of specifity is critical. The "0fficial Guidelines of ICD-9-CM Coding " Section IV K. Code all documented conditions that coexist at the time of the encounter/visit, and require or affect patient care treatment or management. Reporting the morbid obesity if documented and BMI, support the need for the plan as documented. Also demonstrates the additional risk in taking on the patient condition of osteoarthrosis. It is extremely important with surgical cases. This co-condition definately has the potential for adverse outcome of surgery. Diabetes, Obesity, ESRD, and Tobacco use are conditions that will impact most orthopaedic treatments / plans. Taking care to properly report co-conditions / morbidities is important if documented in ther record. As most often will have the potential to impact plan of care and or increase the risk of adverse outcome of treatment. Hope this helps!
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