YOUR POST: "Can anyone tell me if there is a timeframe when a 'remission' code would become a 'history of' code. An example would be alcohol abuse (305.03 - Nondependent alcohol abuse - in remission) vs (V11.3 Personal history of alcoholism). I cannot find anywhere in the guidelines that explain when to use these type of codes. If anyone could guide me, I would greatly appreciate it. Thanks in advance. "
I look at physician documentation and if it is not clear, query. In the example you gave, a person with nondependent alcohol abuse - in remission would not be considered an alcoholic. Per ICD9 guidelines, the V11 codes would not usually be justified in an inpatient record and would be very limited in an outpatient setting.
Also, for dx like malignancies, it is important to be very clear about whether the malignancy is truly history or currently treated as that information can have an impact on that patient in other scenarios like rating for health coverage.
I am not aware of any standard timeframe. Therefore, if the physician has not clearly stated whether the condition is current or hx, query.
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