Sequencing

Ahunt@hallmarkhealth.orgAhunt@hallmarkhealth.org
in Home Care Coding General
Looking for guidance for correct sequencing.

Patient has HTN,CHF, DM2 and CDK Stage 3.

We can connect HTN with heart disease (effective Oct 1) and also the DM2 with kidney complication...would this be the sequence if the HF was the focus.

1. E13.0 (HTN Heart &CKD)
2. I50.9 (CHF)
3. E11.22 (DM2 W CKD)
4. N18.3 ( Stage 3)

Comments

  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    E11.22
    I129
    I50.9--OR SPECIFIED TYPE
    N18.3

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    Yes, because that is the sequencing guidance. I gave you the wrong code for HTN it would be the I30.xx code that is HTN with CHF and CKD I don't have my book but I believe it is I13.2

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • Ahunt@hallmarkhealth.orgAhunt@hallmarkhealth.org
    I also see the note under e11.22.

    so it would be 1. E11.22, 2. I13.0 3. I50.9 then 4. n18.3 if DM is the focus

    OR if HF is the focus

    1. I13.0 2. I50.9 3. E11.22 4. N18.3
  • apoolman@home-rehab.comapoolman@home-rehab.com
    edited April 2017
    Lisa you are correct – that is my question



    Arlene Poolman, RN

    Director of Clinical Services

    At Home Rehab

    800.880.9715



    *The Professional Care YOU Deserve*
  • Kenneth.j.reinke@comhs.orgKenneth.j.reinke@comhs.org
    edited April 2017
    Just remember to go in alphabetic order, Alzheimers , followed by Dementia.
  • lisa.sharpe@sanfordhealth.orglisa.sharpe@sanfordhealth.org
    If it states "as due to UTI" then code N39.0/A41.51/R65.20/N17.9
    If admitting patient to Hospice with a terminal dx of E.coli Sepsis and acute renal failure isn't resolved, then code A41.51/R65.20/N17.9/N39.0
    Either way, Sepsis/Severe Sepsis and the organ dysfunction can't be separated.

    Lisa Sharpe, HCS-D
    Coding Specialist
    Sanford Bemidji HomeCare and Hospice
    3201 Pine Ridge Ave NW RT# 10800
    Bemidji MN 56601
    Phone 218-333-5764  Fax 218-333-6017
    lisa.sharpe@sanfordhealth.org


    -----Original Message-----
    From: Andrea Rodriguez [mailto:arodriguez@vnshs.org]
    Sent: Thursday, May 18, 2017 10:23 AM
    To: HomeCareCoding-L
    Subject: [EXTERNAL] [homecarecoding-l] sequencing

    hospice patient with ecoli sepsis due to uti w/ acute renal failure...what is the best sequencing ?

    A41.51
    N39.0
    R65.20
    N17.9

    or something else?
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