Acute and Chronic Conditions
If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level,
code both and sequence the acute (subacute) code first
.
When the same condition is described as both acute and subacute and chronic and separate Subentries exist in the ICD 10 CM index at the same indentation level?
Acute and Chronic Conditions
If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level,
code both and sequence the acute (subacute) code first
.
Do you code acute or chronic conditions first?
ANSWER: Coders assign codes based on physician documentation. In order to assign a code for an acute condition, the coder should see
clearly that the physician documented it as acute
. Many ICD-9-CM codes, like sinusitis, default to a chronic status without further specification by the physician.
When coding a sequela the residual condition is sequenced first and the sequela is sequenced second?
Coding of sequela generally requires two codes sequenced in the following order: The condition or nature of the sequela is sequenced first. The sequela code
is sequenced second
.
What is the main term for the following diagnosis atrial fibrillation?
1 (
persistent atrial fibrillation
) is reported. The term chronic is a nonspecific term that could also be used to describe the other types of specified atrial fibrillation. Since I48. 1 is a more specific code this is the one that should be reported.
When the same condition is described as both acute?
Acute and Chronic Conditions
If the same condition is described as both acute (
subacute
) and chronic and separate subentries exist in the Alphabetic Index at the same indentation level, code both and sequence the acute (subacute) code first.
Which term indicates an uncertain diagnosis?
If the diagnosis documented at the time of discharge is qualified as “probable,” “suspected,” “likely,” “
questionable
,” “possible,” or “still to be ruled out,” or other similar terms indicating uncertainty, code the condition as if it existed or was established.
How do you code acute on chronic?
Acute on chronic graft-versus-host disease
D89. 812
is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM D89. 812 became effective on October 1, 2020.
How do you code acute on chronic pain?
Category G89
includes codes for acute pain, chronic pain, and neoplasm-related pain, as well as codes for two pain syndromes.
What are Z codes used to identify?
Z codes are a special group of codes provided in ICD-10-CM for the reporting of factors influencing health status and contact with health services. Z codes (Z00–Z99) are diagnosis codes used
for situations where patients don’t have a known disorder
. Z codes represent reasons for encounters.
Can a sequela code be primary?
According to the ICD-10-CM Manual guidelines, a sequela
(7th character “S”) code cannot be listed as the primary
, first listed, or principal diagnosis on a claim, nor can it be the only diagnosis on a claim.
What is an example of sequela?
Sequela: A pathological condition resulting from a prior disease, injury, or attack. As for example,
a sequela of polio
. Verbatim from the Latin “sequela” (meaning sequel). Plural: sequelae.
When do you code a sequela?
There is no time limit on
when a sequela code can be used. The residual effect may be present early or may occur months or years later. Two codes are generally required: one describing the nature of the sequela and one for the sequela.
What is the main term for unstable angina?
Patients who present with chest pain at rest have unstable angina pectoris or AMI, collectively known as
acute coronary syndromes
. In these patients, atherosclerotic plaques have become vulnerable due to the thinning of the fibrous cap (Fig. 1b).
How do you code atrial fibrillation?
2021 ICD-10-CM Diagnosis Code
I48. 91
: Unspecified atrial fibrillation.
What is the ICD-10 code for anticoagulant?
Long term (current) use of anticoagulants
Z79. 01
is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
