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Wound Clinic Coding

Kathy Posted Wed 08th of June, 2011 21:47:04 PM

Original diagnosis / ICD:
1.Cellulitis - 682.6
2.Open toe wound - 893.0

Recent Diagnosis:
1.Cellulitis - Resolved
2.Toe Ulceration - Resolved
3.Venous Insufficiency

Patient is an HMO with an authorization in place for primary diagnosis 682.6. I am submitting authorization request for compression stockings as well. Patient is also scheduled for a two week f/up for stockings. How do I code this last note correctly?

SuperCoder Answered Wed 08th of June, 2011 22:02:50 PM

Do you want to mean Original Diagnosis as "Admitting Diagnosis" and Recent Diagnosis as "Final Diagnosis" ?
If the patient is a Hospital Inpatient?

Kathy Posted Wed 08th of June, 2011 22:55:37 PM

The patient is an outpatient. Patient has been seen on a weekly basis. Over the past couple weeks, wounds have healed. The Final diagnosis is what I nee help coding.

SuperCoder Answered Thu 09th of June, 2011 14:54:41 PM

893.0 & V67.59

Kathy Posted Thu 09th of June, 2011 16:29:12 PM

Would it be accurate to code all diagnosis's as follows:
682.6 - cellulitis
893.0 - open toe wound
459.81 - venous insufficiency
V67.59 - following / other

The reason I ask, is that the authorization is for the primary 682.6??

SuperCoder Answered Thu 09th of June, 2011 16:38:49 PM

I got your point, keeping HMO authorization for 682.6 for Primary Dx, since this is a healed wound care f/u, you can use the sequence of codes you said.

Kathy Posted Thu 09th of June, 2011 16:44:17 PM

Thanks Sanjit. You are a great help :)

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