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LUNG CONSOLIDATION

Melissa Posted Wed 09th of January, 2013 16:49:47 PM

WHAT WOULD BE THE MOST ACCURATE CODE FOR LUNG CONSOLIDATION THE BOOK REFERS YOU TO PNEUMONIA. HERE ARE THE CODES I WAS LOOKING AT ~486 793.19 518.89~ THANK YOU

SuperCoder Answered Thu 10th of January, 2013 15:36:44 PM

The combination seems correct and in ICD-9 book there is a listing for consolidated lung-which says see pneumonia,lobar.

However I am researching more on this and will come back to you soon.

Thanks

Melissa Posted Thu 10th of January, 2013 17:18:07 PM

Thank you, and yes I see that however under lobar pneumonia it tells you to see Pneumonia broncho- under broncho it list some with organisms and then a viral type of 480.9? so I will await your answer. Thank you again

Melissa Posted Thu 10th of January, 2013 17:19:18 PM

And sorry to clarify I was only going to pick one of the above three codes mentioned not all three.

Melissa Posted Mon 14th of January, 2013 15:52:59 PM

hi was wondering if you have researched ? Thanks

SuperCoder Answered Tue 15th of January, 2013 10:33:30 AM

Hi, Please find answer to your question:
The most accurate code for "LUNG CONSOLIDATION" is 481

SuperCoder Answered Tue 15th of January, 2013 19:09:45 PM

More Precisely

Lung consolidation is a “finding” typically seen on CXR (for which you would report 793.19). Unless you can specifically determine and diagnose the cause of the consolidation (eg, pneumonia), you shouldn’t report pneumonia. Signs or symptoms (eg, dyspnea, cyanosis, etc) can also be reported when a definitive cause for consolidation is not yet determined.

Melissa Posted Fri 25th of January, 2013 16:38:47 PM

I agree with both however the ICD9 book does refer you to pneumonia is there any further guidlines on this as to what is the most accurate code between the ~481~ per cpt guidelines or the ~793.19~

SuperCoder Answered Mon 28th of January, 2013 15:09:11 PM

I am sorry, there is no further guideline which I can point you to, but as I said earlier 793.19 is more and much correct.

Lung consolidation is a “finding” typically seen on CXR (for which you would report 793.19). Unless you can specifically determine and diagnose the cause of the consolidation (eg, pneumonia), you shouldn’t report pneumonia. Signs or symptoms (eg, dyspnea, cyanosis, etc) can also be reported when a definitive cause for consolidation is not yet determined.

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