Go Back   AAPC Forum > Medical Coding > Diagnosis Coding
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 07-25-2012, 05:52 PM
ollielooya ollielooya is offline
True Blue
Join Date: Apr 2007
Location: Everett, WA
Posts: 869
ollielooya is on a distinguished road
Default coding rheumatoid arthritis-back to the basics

Hello beneath code 714.0 there are the instructions to use additional code to identify manifestation, as: myopathy (359.6) polyneuropathy (357.1). Is it correct to use just the 714.0 diagnosis? I noticed that the statement "if applicable" is not in the instruction to"use additional code" for this particular code as it is with various other codes The doctor did not provide these supplemental codes to the 714.0 diagnosis and when I asked him about it he said that the 359.6 and 357.1 have nothing to do with rheumatoid arthritis. In viewing his past charges, don't see these add'l codes listed at all.

At this point for this new client just trying to make sure we have a good grasp on the codes and I do not yet have the chart notes to review. And in reviewing the convention guidelines "Use additional code" notes are found in the tabular at codes that are not part of an etiology/manifestation pair where a secondary code is useful to fully describe a condition which leads one to think that a secondary code is NOT required. However in the next sentence that follows "....use add'l code" indicates that one of these secondary codes SHOULD be added.

I'm just now sure how I should respond to the doctor's comment in light of instruction from ICD-9 guidelines. Anyone advise?
Suzanne E. Byrum CPC
Reply With Quote
Old 04-18-2014, 11:17 AM
kmayfield kmayfield is offline
Join Date: Apr 2007
Posts: 16
kmayfield is on a distinguished road
Default coding rheumatoid arthritis-back to the basics

Hi Did you ever receive a response to your post? Can anyone shed light on this as I am going through the same issues here with one of our physicians.


Kelly Mayfield, CPC
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 07:36 AM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC