Clinical coding secrets (23)
By Dr.Sedeek El Hakeem (MBBS, TQM, cert.CII, IFCE)
Today I’ll present a new dose of Clinical coding secrets, I have been
abstracted them from my reading Australian Coding Standards and practicing Australian clinical coding(ICD10AM,ACHI) at a private general hospital (150 beds) in KSA
Codes for symptoms, signs and ill-defined conditions
Codes for symptoms, signs and ill-defined conditions from Chapter 18 Symptoms signs and abnormal clinical and laboratory findings are not to be used as principal diagnosis when a related definitive diagnosis has been established (see also ACS 1802 Signs and symptoms).
Although symptoms are generally not coded when a more definitive diagnosis exists, there are cases where symptoms should be coded. The notes at the beginning of Chapter 18 in ICD-10-AM are of assistance in determining when to assign codes from R00–R99 categories and an excerpt is reproduced here:
“The conditions and signs or symptoms included in categories R00–R99 consist of:
a. cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
b. signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
c. provisional diagnoses in a patient who failed to return for further investigation or care;
d. cases referred elsewhere for investigation or treatment before the diagnosis was made;
e. cases in which a more precise diagnosis was not available for any other reason;
f. certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.”
This last point is of particular importance as some 'symptoms', because of their significance, require coding as well as the underlying cause.
Today I have been presented a new dose of Clinical coding secrets; I hope this dose will help you to sail safely in the sea of clinical coding as you know coding translates medical service into money
Next time I’ll provide a new dose of Clinical coding secrets
For more information contact me on
@dr8q
sedeeks2011@gmail.com
By Dr.Sedeek El Hakeem (MBBS, TQM, cert.CII, IFCE)
Today I’ll present a new dose of Clinical coding secrets, I have been
abstracted them from my reading Australian Coding Standards and practicing Australian clinical coding(ICD10AM,ACHI) at a private general hospital (150 beds) in KSA
Codes for symptoms, signs and ill-defined conditions
Codes for symptoms, signs and ill-defined conditions from Chapter 18 Symptoms signs and abnormal clinical and laboratory findings are not to be used as principal diagnosis when a related definitive diagnosis has been established (see also ACS 1802 Signs and symptoms).
Although symptoms are generally not coded when a more definitive diagnosis exists, there are cases where symptoms should be coded. The notes at the beginning of Chapter 18 in ICD-10-AM are of assistance in determining when to assign codes from R00–R99 categories and an excerpt is reproduced here:
“The conditions and signs or symptoms included in categories R00–R99 consist of:
a. cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
b. signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
c. provisional diagnoses in a patient who failed to return for further investigation or care;
d. cases referred elsewhere for investigation or treatment before the diagnosis was made;
e. cases in which a more precise diagnosis was not available for any other reason;
f. certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.”
This last point is of particular importance as some 'symptoms', because of their significance, require coding as well as the underlying cause.
Today I have been presented a new dose of Clinical coding secrets; I hope this dose will help you to sail safely in the sea of clinical coding as you know coding translates medical service into money
Next time I’ll provide a new dose of Clinical coding secrets
For more information contact me on
@dr8q
sedeeks2011@gmail.com
ليست هناك تعليقات:
إرسال تعليق