difficult coding scenario - URGENT

How would you code the following scenario for home health:

86 yr old male admitted to ER with severe respiratory distress, O2 sats 74%. Diagnosis Septic shock, Septicemia, Respiratory failure with hypoxia, pneumonia, insulin dependent diabetes. Orders for home health are for nursing, PT, OT and Home Health Aide. Being sent home with oxygen.

I have a problem with this...because it seems like several things may be resolved by the time the patient comes home. But this is exactly the way it was presented to me.

Thanks in advance.....

Comments

  • edited April 2017
    What you have so far will support coding for M1011 and M1017. Has your intake nurse turned in the start of care assessment?

    Susan Winokur, HCS-D, BCHH-C | Southwest Medical
    Part of OptumCare
    Senior Medical Coder, Home Health

    8655 South Eastern Avenue, Las Vegas, NV 89123 USA
    T    +1 702-838-0644
    Susan.Winokur@optum.com
    smalv.com
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