subtherapeutic INR on coumadin

jill.sanborn@midmichigan.orgjill.sanborn@midmichigan.org
in Home Care Coding General
I come up with r79.1 But there is a coding tip that says it is not for those on blood thinners and to use z51.81 and z79.01 instead. I can't find anything that says it is an adverse effect of or that is wasn't properly administered. This is what she was treated for in the hospital so I am unsure of what to use.

Comments

  • barbara.sheeler@gmail.combarbara.sheeler@gmail.com
    edited April 2017
    Take a look at D68.32 drug induce hemorhagic disorder
    use additional code for adverse effect if applicable (T45.515 or T45.525)
  • jill.sanborn@midmichigan.orgjill.sanborn@midmichigan.org
    I thought about that too but the chart didn't mention any type of disorder so I wasn't sure. Thanks for the input, I appreciate it!
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    Did anyone look at T45.516?

    Nancy Wolverton RN,CCM
    QR Specialist, Central Office
    5800 West 10th St., Suite 300
    Little Rock, AR. 72205
    Ph# 501-280-4913
    Fax# 501-280-4385
    Nancy.Wolverton@arkansas.gov
  • jill.sanborn@midmichigan.orgjill.sanborn@midmichigan.org
    edited April 2017
    I did not because there was no mention of underdosing but I will ask the nurse if she has any more info on how it was given. Thanks!
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    Subtherapeutic INR means the Coumadin dose was too low and has to be increased to get the INR back to therapeutic range 2-3.

    Nancy Wolverton RN,CCM
    QR Specialist, Central Office
    5800 West 10th St., Suite 300
    Little Rock, AR. 72205
    Ph# 501-280-4913
    Fax# 501-280-4385
    Nancy.Wolverton@arkansas.gov
  • jill.sanborn@midmichigan.orgjill.sanborn@midmichigan.org
    edited April 2017
    Right, but I thought that it could possibly be low due to other reasons because they didn’t specify. Thanks Nancy
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