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  1. #1
    Prescott, Arizona
    Unhappy kjohnsonmedrehab
    Exam Training Packages
    Good Morning,
    I have an ongoing discussion within our facility regarding the correct code for weakness or hemiplegia following a CVA. Can we apply a 438.20 for a patient's diagnosis, if the only defficit is weakness and not paralysis as described in the Physicians H&P? Or should the code be 780.79 when no hemiplegia description is provided?
    I hope that the reason no one has responded is due to my not providing enough informatio. This coding question is for an inpatient at a rehabilitation hospital. If anyone has an answer for me, I would be ever so grateful.
    Last edited by phlebokim; 09-21-2011 at 09:37 AM. Reason: No responses

  2. #2
    Baton Rouge
    IMO, use 438.89-Other late effects of CV disease, which requires use of additonal code-780.79- to identify the late effect. Hope this helps!!
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  3. #3
    Prescott, Arizona
    Thank you so much. I was pretty sure that was the correct steps, but as a fairly new coder, It is good to have someone help assure you that you are doing it correctly! Thanks again.

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  1. kjohnsonmedrehab
    By phlebokim in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 08-22-2011, 10:02 AM

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