Linda Posted Tue 09th of April, 2013 23:38:56 PM
Pt with liver transplant or receiving chemotherapy and one of the diagnoses is immunosuppression. What is the ICD for the immunosuppression? How would you code a nontraumatic intraparenchymal bleed?
SuperCoder Answered Wed 10th of April, 2013 13:37:13 PM
Dx code will depend on several factors, and will vary accordingly.
If it's complications of transplanted liver, code 996.82, and then additionally code the "complication" code.
If it's encounter for chemotherapy after liver transplant, code the condition first, and then V42.7 [see "Excludes" note below code V58.1]
If it's personal history of immunosuppressive therapy, code V87.46
For nontraumatic intraparenchymal bleed, knowing the site (organ) of bleeding would be very important. Hemorrhage of that site is usually coded in this case. The bleeding could be in brain or in other organ/systems.
Linda Posted Thu 11th of April, 2013 20:01:03 PM
Site of bleed is the brain.
SuperCoder Answered Fri 12th of April, 2013 14:42:58 PM
There is no direct code for "nontraumatic intraparenchymal bleed". We would go with 431 as Dx code.