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Reply with quote  #1 
I was recently hired to work for an ED.  I was told that i must always code the signs and symptoms along with the definitive dx.  I was also told to code the chief complaint  They said this was due to showing the severity of a patient.  here is an example of my coding:

pt came in with abdominal pain.  The dx given in the plan was crohns.  I only coded the crohns but was told that it wouldn't be paid because that wasn't a severe enough dx.  As far as i'm concerned abdominal pain and crohns go hand in hand and i would only code the definitive dx.  

Are the DX coding rule different for ED????

Thank you for any help you can offer!  i know this site focuses on choosing your level, however, i do think this effects the choice of level, too.
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Reply with quote  #2 
Quote:
Originally Posted by Unregistered
I was recently hired to work for an ED.  I was told that i must always code the signs and symptoms along with the definitive dx.  I was also told to code the chief complaint  They said this was due to showing the severity of a patient.  here is an example of my coding:

pt came in with abdominal pain.  The dx given in the plan was crohns.  I only coded the crohns but was told that it wouldn't be paid because that wasn't a severe enough dx and that i should also code the abdominal pain.  As far as i'm concerned abdominal pain and crohns go hand in hand and i would only code the definitive dx.  

Are the DX coding rule different for ED????

Thank you for any help you can offer!  i know this site focuses on choosing your level, however, i do think this effects the choice of level, too.
WENDYR1

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Posts: 4
Reply with quote  #3 
Quote:
Originally Posted by Unregistered
I was recently hired to work for an ED.  I was told that i must always code the signs and symptoms along with the definitive dx.  I was also told to code the chief complaint  They said this was due to showing the severity of a patient.  here is an example of my coding:

pt came in with abdominal pain.  The dx given in the plan was crohns.  I only coded the crohns but was told that it wouldn't be paid because that wasn't a severe enough dx.  As far as i'm concerned abdominal pain and crohns go hand in hand and i would only code the definitive dx.  

Are the DX coding rule different for ED????

Thank you for any help you can offer!  i know this site focuses on choosing your level, however, i do think this effects the choice of level, too.



Coding is the same for every department.  You code based on the providers documentation.  Primary would be crohn's, to support medical necessity for some of the testing you could also add the signs and symptoms (abdominal pain).
kmrjpr

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Posts: 24
Reply with quote  #4 
The confirmed diagnosis does not always support medical necessity for tests ordered, that's why you also code the signs and symptoms.

The rules are the rules no matter what department, specialty, etc you are working in.  The only exception is when dealing with inpatient coding.

Code the Crohn's and the abdominal pain.  While they do go hand in hand, you may not get covered for some of the testing with a DX of Crohn's.  Abdominal pain can be acute, sharp, etc and paints a different picture than just saying Crohn's.
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