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Old 09-08-2011, 10:53 AM
JulesofColorado JulesofColorado is offline
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Default Chronic Afib and Chronic anticoagulation

I'm wondering what code I should use for the chronic anticoagulation. There is no mention of hemorrhage and the patient is on Coumadin. 790.92 shouldn't be used for patient's on Coumadin Therapy.

Any thoughts would be greatly appreciated!

Julianne Sheetz, CPC
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Old 09-08-2011, 03:28 PM
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Grintwig Grintwig is offline
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790.92 is for an abnormal coagulation profile not for Coumadin therapy.
You would use v58.61 long-term (current) use of anticoagulants to code current Coumadin use. If the physician documents that the coagulation profile is abnormal then you could code it. In the ICD 9 under the code in the tabular it gives examples of what constitutes abnormal or prolonged.
A. McCormick, CPC, CGSC
Walters Surgical Associates
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