Search results

  1. schacko

    Wiki CVA with bilateral hemiplegia

    Hi there! Please provide your opinion on what ICD 10 CM code would be appropriate for the below scenario, CVA with left hemiplagia- -right hemiparesis -weak right grip -both lower limbs no movement except little movement on right toes and little flexsion movement in right leg Thanks and...
  2. schacko

    Wiki CVA with bilateral hemiplegia

    Its been almost a year... Can anyone advice on my concerns?
  3. schacko

    Wiki CVA with bilateral hemiplegia

    Hello dear friends, Hope all are well coping with the pandemic. I need a help in how to code the given diagnosis; post multiple CVAs with bilateral hemiplegia Will there be 2 ICD 10 codes ? I69.351 Hemiplegia and hemiparesis following cerebral infarction affecting...
  4. schacko

    Wiki Autolytic debridement 97602

    Thank you for your reply Khajapeer! Do we have any references to check?
  5. schacko

    Wiki Autolytic debridement 97602

    Hi there.. In a visit how many times can 97602 be reported. For example, patient with 3 pressure ulcers in 3 different sites with autolytic debridement done in all 3 ulcers. How would this be coded? Any inputs would be greatly appreciated. Thanks and Regards, ShirlsKC - BPT, COC
  6. schacko

    Wiki CPT for Fracture with dislocation !

    Hello, I have a case of fracture with dislocation. Fracture is at distal phalanx of the right great toe and there is a dislocation of the interphalangeal joint of the same toe. The physician reduces the dislocation and buddy tapes the toe. My concern is diagnosis and CPT coding here. Would this...
  7. schacko

    Wiki Provisional Diagnosis

    Hello, Can anyone give inputs on what is Provisional Diagnosis? Can they be coded as definite diagnosis.
  8. schacko

    Wiki E-code for twisting ankle

    Overexertion E codes would be another option I would suggest. Check out E927.0 - E927.9
  9. schacko

    Wiki weight check for baby

    Hi, 99211 can be billed if only the weight readings are documented, and for the diagnosis V20.31 or V20.32 may be assigned based on how many days old the baby is. I hope this helps. :)
  10. schacko

    Wiki Treatment options in the MDM

    Hi Ivonne, Self limited / minor problem can be a condition that might not require any treatment, that would resolve with time without treatment, with rest for example. New problem (with no work-up) can be a condition that needs treatment or prescription. Now with the scenario you have...
  11. schacko

    Wiki Follow up on lab results

    Am concerned on what would the first-list diagnosis be. the scenario is CC: Follow up for lab results No HPI documented, PMhx states patient has hypertension. CBC results are reviewed here. Impression and plan: labs ordered-creatinine and GTT and diet and exercise discussed. What diagnosis can...
  12. schacko

    Wiki Follow up for lab results

    Thank you for the info. God Bless !
  13. schacko

    Wiki Follow up for lab results

    Is this scenario too difficult to solve ?
  14. schacko

    Wiki Follow up for lab results

    Am concerned on what would the first-list diagnosis be. the scenario is CC: Follow up for lab results No HPI documented, PMhx states patient has hypertension. CBC results are reviewed here. Impression and plan: labs ordered-creatinine and GTT and diet and exercise discussed. What diagnosis can...
  15. schacko

    Wiki Need Diagnosis Help

    Hi... I think assigning both the Observation code and the prematurity codes explains the scenario as your physicians are observing for a suspected condition in a premature infant. Hope that makes sense! :)
  16. schacko

    Wiki Newborn screening

    Hi there! I am coding for newborns and kids. In many newborn charts physicians document +FAS in metabolic screening. In another chart, the patient has a history of barts + FAS in metabolic screening and orders CBC to r/o anemia. Could anyone suggest an appropriate code for the above 2...
  17. schacko

    Wiki Help me with Amb surg

    Hey....Thanks!! It was a great help to me... God bless you!:)
  18. schacko

    Wiki Help me with Amb surg

    Am sorry but I don't get which thread you are referring to...maybe you missed to mention that..!?:p
  19. schacko

    Wiki Help me with Amb surg

    A big thanks to you Noraz for the link !:)
  20. schacko

    Wiki Help me with Amb surg

    Hello, I am new to this section of coding. Could anyone share if there is any specific guideline to coding ambulatory surgery? Would be grateful if I could get little information before starting it off rather than knowing nothing about it. Please could anyone pin down a point or 2 at...
  21. schacko

    Wiki Ambulatory Surgery Coding!

    Hello, I am new to this section of coding. Could anyone share if there is any specific guideline to coding ambulatory surgery? Would be grateful if I could get little information before starting it off rather than knowing nothing about it.:o Pleeeease could anyone pin down a point or 2...
  22. schacko

    Wiki ICD procedure!!

    Hello... Could anyone tell me if it is appropriate to assign 96.52 twice when cerumen disimpaction is performed in both the ears? ICD procedures a lot confusing with no specific guidelines to guide...Would be helpful if anyone could help solve this ICD procedure confusions!! Thanks in advance!
  23. schacko

    Wiki E coding..!!

    Hello ... Could anyone Ecode this scenario... This is a 9-month-old male whose father states that he was carrying and he tripped and fell and the baby's left side of his face hit the sidewalk causing an abrasion. Dx - Head injury and abrasions on the baby's face..
  24. schacko

    Wiki Fracture care vs splints

    Thanks once again! Thanks Tessa..Now the picture is very clear.. God bless you!!
  25. schacko

    Wiki Fracture care vs splints

    Danks a lot!! Hey! A bunch of thanks to all my friends out there for the information provided....:) Well I code for ER doc..Sometimes documentation makes a lot of difference and is sometimes confusing when assigning a fracture care code... God bless you all...!!
  26. schacko

    Wiki Fracture care vs splints

    Hello... Could anyone suggest when it would be appropriate to code fracture care.. Eg: Patient being diagnosed with a wrist fracture from a fall and a sugar-tong splint is applied and is asked to follow-up with orthopedics..Would code to fracture care or splint applied or both..??:confused...
  27. schacko

    Wiki E/M visit/Wound Repair

    Hey... If the only diagnosis is laceration and the only procedure done is suturing...then would suggest to code 12001 only....E/M may be assigned along with 12001 with a mod-25...if an additional diagnosis have been addressed or an additional workup (Xray or labs) is performed... This indicates...
  28. schacko

    Wiki Diagnosis code!

    Can anyone suggest appropriate diagnosis code for the following: 1) Pain to palpation to epigastrium would be coded to..? 2) Skin is red at the site of PPD test.. Thanks in advance!
  29. schacko

    Wiki dysphoria!!

    Well...yes that's what I arrived at too.... Thanks for your thoughts, FTessaBartels! :) Have a great day!:) More suggestions are welcome..
  30. schacko

    Wiki dysphoria!!

    Hello..can anyone suggest what code to assign for dysphoria..!!?? Thanks in advance
  31. schacko

    Wiki Kids trouble!

    Hello Roxane,,Thanks for trying to help me..I appreciate it..!! For scenario 3 - I wanted to clarify is it appropriate to assign V20.1. If anyone could help!
  32. schacko

    Wiki Zostavax Vaccine for Shingles

    I agree with Lisa that is what we use here as well!!
  33. schacko

    Wiki Kids trouble!

    Hello! Please suggest how would you code the following diagnosis: 1) Patient with Gross motor delay/hypotonia 2) Candidal diaper rash : Do we need to code diaper rash and cutaneous candidiasis or just cut. candidiasis. 3) 7 day old infant is brought to clinic. History - no concerns, breast...
  34. schacko

    Wiki Excludes - Asthma and wheezing

    Hello...can anyone clarify what does it mean when asthma and wheezing excludes each other..!!??
  35. schacko

    Wiki Help! Diagnosis coding

    Hi there! Thanks Rebecca..that was helpful... Thanks to Lisa too!! I know symptoms is too vague...but to put it generally..My concern was whether to code to symptoms or to the condition itself in such situations..!!? :confused:
  36. schacko

    Wiki Help! Diagnosis coding

    I find there are physicians documenting the following for final diagnosis. Please give your opinions on what code would be appropriate. - croup symptoms - gastro symptoms - seb derm rash - scenario where the a 3 day old baby is brought to the clinic for weight check after newborn H&P 3 days...
  37. schacko

    Wiki Appropriate diagnosis for medical clearance

    Thanks a bunch! Erica...that was indeed helpful. Have a nice day! :)
  38. schacko

    Wiki Appropriate diagnosis for medical clearance

    Hello, I have a case where the patient comes to ED for medical clearance. This is a 14 yr old boy who is on probation for drug offense and he is brought in by the police on shackles to ED when the court has asked for evaluation to know whether the patient requires a psychiatric admission or...
Top