Mary Posted Mon 12th of July, 2010 19:16:47 PM
Would you code congestive heart failure being treated with medication even though failure does not exist during present episode of care? Thanks
SuperCoder Answered Tue 13th of July, 2010 06:45:05 AM
Yes, absolutely. Any condition whose Tx is going on using some medication at a time when it's actively not present, would still required to be coded as "current condition". In this example, though CHF (428.0) is not active on a particular day, but if Pt. is on Warfarin / Coumadin or any other medication for Tx of CHF, 428.0 requires to be coded.
One catch: Mere mentioning of medicine in the "current medication list" is not enough. The doctor requires to link the med. with the Dx (CHF) clearly, in order to avoid any possible denial.