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Basic Coding Project

medical coding

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Neida Caro-Boone
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3 views

Basic Coding Project

medical coding

Uploaded by

Neida Caro-Boone
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Neida Caro-Boone

Basic ICD Coding Project

A. Coding Guideline- B. General Coding Guidelines Acute and Chronic Conditions


If the same condition is described as both acute (subacute) and chronic, and separate
subentries exist in the Alphabetic Index at the same indentation level, code both and
sequence the acute (subacute) code first.
Article- Types of Lupus | Johns Hopkins Medicine
Code- Chapter 13 Disease of Musculoskeletal System and Connective Tissue. M32.9

B. Coding Guideline- B. General Coding Guidelines Signs and symptoms


Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for
reporting purposes when a related definitive diagnosis has not been established
(confirmed) by the provider. Chapter 18 of ICD-10-CM, Symptoms, Signs, and Abnormal
Clinical and Laboratory Findings, Not Elsewhere Classified (codes R00.0 - R99) contains
many, but not all, codes for symptoms.
Article- Blood Pressure: High, Low, Normal, and Treatments (verywellhealth.com)
Code- Chapter 18 Symptoms, Signs, and abnormal clinical and Laboratory Findings -
R03.0

C. Coding Guideline- B. General Coding Guidelines Multiple coding for a single


condition
In addition to the etiology/manifestation convention that requires two codes to fully
describe a single condition that affects multiple body systems, there are other single
conditions that also require more than one code. “Use additional code” notes are found in
the Tabular List at codes that are not part of an etiology/manifestation pair where a
secondary code is useful to fully describe a condition. The sequencing rule is the same as
the etiology/manifestation pair, “use additional code” indicates that a secondary code
should be added, if known.

For example, for bacterial infections that are not included in chapter 1, a secondary code
from category B95, Streptococcus, Staphylococcus, and Enterococcus, as the cause of
diseases classified elsewhere, or B96, Other bacterial agents as the cause of diseases
classified elsewhere, may be required to identify the bacterial organism causing the
infection. A “use additional code” note will normally be found at the infectious disease
code, indicating a need for the organism code to be added as a secondary code.
“Code first” notes are also under certain codes that are not specifically manifestation codes
but may be due to an underlying cause. When there is a “code first” note and an
underlying condition is present, the underlying condition should be sequenced first, if
known. “Code, if applicable, any causal condition first” notes indicate that this code maybe
assigned as a principal diagnosis when the causal condition is unknown or not applicable. If
a causal condition is known, then the code for that condition should be
sequenced as the principal or first-listed diagnosis.
Multiple codes may be needed for sequela, complication codes and obstetric codes to more
fully describe a condition. See the specific guidelines for these conditions for
further instruction.
Article Diverticulitis: Symptoms, Causes & Treatment (clevelandclinic.org)
Code -Chapter 11 Diseases of the Digestive System K57.21

D. Coding Guideline- B. General Coding Guidelines Sequela (Late Effects)


A sequela is the residual effect (condition produced) after the acute phase of an illness or injury has
terminated. There is no time limit on when a sequela code can be used. The residual may be apparent
early, such as in cerebral infarction, or it may occur months or years later, such as that due to a previous
injury. Examples of sequela include: scar formation resulting from a burn, deviated septum due to a
nasal fracture, and infertility due to tubal occlusion from old tuberculosis. Coding of sequela generally
requires two codes sequenced in the following order: the condition or nature of the sequela is sequenced
first. The sequela code is sequenced second. An exception to the above guidelines are those instances
where the code for the sequela is followed by a manifestation code identified in the Tabular List and title,
or the sequela code has been expanded (at the fourth, fifth or sixth character levels) to include the
manifestation(s). The code for the acute phase of an illness or injury that led to the sequela is never used
with a code for the late effect

Post-traumatic osteoarthritis, unspecified site

M19.92 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for
reimbursement purposes.
The 2024 edition of ICD-10-CM M19.92 became effective on October 1, 2023.
This is the American ICD-10-CM version of M19.92 - other international versions of ICD-10
M19.92 may differ.

Post-Traumatic Arthritis: Injuries, Pain, and Therapies (verywellhealth.com)


Post-traumatic arthritis (PTA), or post-traumatic osteoarthritis (PTOA), is caused by injury or
accident triggering cartilage bruising and joint inflammation. In severe cases, it can also tear the
cartilage from bone resulting in cartilage loss and eventual joint degeneration. 1 It is also known as
secondary osteoarthritis (OA) because it is has a secondary cause and is not associated with aging
and wear-and-tear on the joints. Post-traumatic arthritis causes pain and even temporary disability,
but there are ways of managing.
This article will explain how PTA affects you, as well as its causes, treatment options, and ways to
manage it.
Post-Traumatic Arthritis in the Knee

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