![]() What ICD-10-CM code(s) should be assigned? The provider's assessment indicates that the infection is worse in the child's right ear. A 3 year-old is seen for ear infections in both of his ears. Look in the ICD-10-CM Alphabetic Index for Lump/breast/right/lower inner quadrant. Without a confirmed diagnosis of a neoplasm, the office visit should be coded with the symptom that is being treated. What is the correct ICD-10-CM code for the encounter? A patient presents for a lump in the lower inner quadrant of her right breast. The ICD-10-CM guideline (I.C.21.c.16) indicates that Z51.0 must be reported as the principal/first-listed diagnosis, except when there are multiple encounters on the same day and the medical records for the encounters are combined. Which ICD-10-CM must be listed first on a claim? The "see" or "see also" indicates that another term should be referenced for correct code selection. Go to the main term referenced with the "see" note to locate the correct code Go to the main term referenced with the "see" note to locate the correct code d. Only research the other codes if you do not know what this diagnosis is Ignore this statement it only used by codersĪdd all of the ICD-10-CM codes indicated to the claim What should a biller do if the ICD-10-CM instructions indicate " See" or " See Also?" If the provider was waiting for the results of the lab work, the signs and symptoms would be reported. The ICD-10-CM guideline (I.B.18) states when a definitive diagnosis is documented by the provider, the signs and symptoms of the condition would not be reported separately. Based on the results of a rapid strep test the provider determines the patient has strep throat. A patient complains of a severe sore throat, a fever and headache. The ICD-10-CM guideline (I.C.9.a.2) indicates to assign codes for category I12 with code from category N18 as the relationship between hypertension and chronic kidney disease is presumed. What codes are reported for a patient that is being treated for ESRD and hypertension? Verify code selection in the Tabular List. Look in the ICD-10-CM Alphabetic Index for Infection/respiratory (tract)/upper (acute) J06.9. Signs and symptoms are not reported when a definitive diagnosis is given (ICD-10-CM guideline I.B.4.). A patient is seen for a cough, chest congestion, and a headache. Look in the ICD-10-CM Tabular List and find that H60.332 represents Swimmer's ear in the left ear. H60.33 is a subcategory code that requires an additional character to be complete. H60.33 requires an additional character the code should be H60.332 H60.33 represents a procedure instead of a diagnosis.ĭ. H60.33 requires an additional character the code should be H60.332Ĭ. H60.33 requires an additional character the code should be H60.339ī. The biller received a denial from XYZ Insurance Company stating H60.33 is an invalid diagnosis code. The provider diagnosed the patient with Swimmer's Ear in the left ear. ![]() A patient was seen for a left ear infection. ![]()
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