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ICD-10 Coding Questions

Tina Posted Fri 18th of September, 2015 12:08:56 PM

1. Will suture removal be sufficient to use as a diagnosis code when that is the reason for the encounter? Will we have to give secondary codes describing the injury?

2. If a patient is seen for a well visit and there is an abnormal finding, I know there is a new code for that in ICD-10. If other tests are done at that visits as well (ex. Hearing and vision) how are those services coded? With ICD-9, we would just bill v20.2 with everything that is done associated with the well visit.

3.Explain when we would use a follow up visit diagnosis code vs. a subsequent encounter code. Does it depend on whether there is an injury involved?

SuperCoder Answered Mon 21st of September, 2015 06:26:44 AM

Well, thanks for your questions.

1. Suture removal -V58.32 as a primary one. There is no need of secondary codes describing the injury as it is no longer exist.

2. We can code this with Z00.121 code with using additional code to identify abnormal findings.

3. One of the biggest and most significant misconceptions inherent to the implementation of ICD-10. The subsequent encounter means that the physician is providing routine care for the injury during the healing or recovery phase. The followup visit encounter means that the physician is providing care in active phase. It means patient's injury is not in recovery phase or healing phase, it is still in active phase and patient is coming for treatment.

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