RE: CABG & MVR

lkpengellkpengel
edited April 2017 in Home Care Coding General
Hello-----if pt. is admitted for PT/OT following CABG/MVR, would I still use aftercare code? There's no SN, incision is scabbed and healing well. Otherwise weakness or cardiac code (CAD, HTN, A-fib)?

Thanks,
Lisa Engel RN, BSN

Comments

  • Unknown
    edited April 2017
    I had something similar and I was told to code to code encounter. This is
    what I would code Z815.12, Z95.2, Z95.1 and then list anything that can
    influence or affect PT/OT. Medicare no longer wants to see muscle weakness,
    difficulty walking etc unless there is no diagnosis at all.

    If someone tells you differently, please let me know.

    Hope this helps!
  • lkpengellkpengel
    edited April 2017
    Thank you Valerie---could you please verify that first code? Even when moving the decimal I do not come up with a valid code!
  • Unknown
    edited April 2017
    That's because I wrote it incorrectly-Sorry! The code is Z48.812.
  • lkpengellkpengel
    edited April 2017
    Ok, so I WOULD use the aftercare code, even if only for therapy!! Thank you!
  • Unknown
    edited April 2017
    yes. Remember 1/2 the world is unsteady on their feet-BIG DEAL! We need to
    say why pt's are unsteady and then defend the reason through PT notes. Does
    that make sense?
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