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how to put ICD code

Maqbool Posted Mon 30th of May, 2011 20:04:39 PM

Patient has numbness and tingling, I suspect Peripheral neuropathy but not diagnosed it yet definitely. I want to order foloowing tests:
ESR,TSh, RPR,B12, oral glucoser tolerance test, UPEP, SPEP, EMG/NCS.
should I put ICD for numbness and tingling or for peripheral neuropathy.
shoudl we use different codes for each of above tests relevant to their indications, eg:
TSH: hypothyroidism
B12: B12 deficiency
ESR: inlflamation
UPEP: paraneoplastic disease
RPR; syphilis.

SuperCoder Answered Tue 31st of May, 2011 05:18:01 AM

If Inpatient : Code for Peripheral Neuropathy.
If Outpatient: Code for Numbness and Tingling.

Maqbool Posted Tue 31st of May, 2011 13:36:21 PM

Why?

Maqbool Posted Tue 31st of May, 2011 13:39:00 PM

It would be great if representatives of super coders could provide reference and rationale.

SuperCoder Answered Tue 31st of May, 2011 14:21:58 PM

I assume the question may be for selecting ICD in the context of Inpatient scenario.
...
Please refer to: http://www.cdc.gov/nchs/data/icd9/icdguide10.pdf
page no.88: "H.Uncertaion Diagnosis"

Maqbool Posted Wed 01st of June, 2011 23:00:28 PM

if patient comes for evaluation for numbness and tingling inpatient or out patient.
will there be two different codes for same symptoms?
if yes then why?

Maqbool Posted Wed 01st of June, 2011 23:08:33 PM

I read the page 88 but and it tells about inpatient condition which you want to rule out, then you can put icd as if it is established.
but it does not say that same symptom will be coded differently which I got impression from your post as you wrote:
"If Inpatient : Code for Peripheral Neuropathy.
If Outpatient: Code for Numbness and Tingling.''
It looks like now to me that ICD code is based on either presenting symptoms or establised diagnosis.

Maqbool Posted Wed 01st of June, 2011 23:09:44 PM

if patient is copminng with 2 or more symptoms which are realted to one diagnosis but still diagnosis can not be made because we are waiting for the workup. in this situation will we be putting icd codes for all symptoms.

SuperCoder Answered Thu 02nd of June, 2011 15:10:43 PM

I think you need to go through all the pages of the link that I had sent line per line to understand the basics. Otherwise, explaining you like this would difficult.
...
Please let me know, if you are aquainted with the details of ICD coding guidelines for Outpatien as well, so that I will be in a better position to tell you the difference perfectly.

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