RE: VALERIE
It makes total sense! Second guessing ourselves is a common occurrence in this business I guess. Do YOU personally ever use "unsteadiness on feet" as primary? We have a visiting physician's group who always uses this as reason for home therapy on F2F!!
Lisa
________________________________________
From: Valerie Mirabella [vmirabella@utopiahomecare.com]
Sent: Thursday, October 13, 2016 3:23 PM
To: HomeCareCoding-L
Subject: Re: [homecarecoding-l] CABG & MVR
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?
On Thu, Oct 13, 2016 at 4:06 PM, Lisa Engel wrote:
Ok, so I WOULD use the aftercare code, even if only for therapy!! Thank you!
________________________________________
From: Valerie Mirabella [vmirabella@utopiahomecare.com]
Sent: Thursday, October 13, 2016 2:12 PM
To: HomeCareCoding-L
Subject: Re: [homecarecoding-l] CABG & MVR
That's because I wrote it incorrectly-Sorry! The code is Z48.812.
On Thu, Oct 13, 2016 at 3:05 PM, Lisa Engel wrote:
Thank you Valerie---could you please verify that first code? Even when moving the decimal I do not come up with a valid code!
________________________________________
From: Valerie Mirabella [vmirabella@utopiahomecare.com]
Sent: Thursday, October 13, 2016 12:17 PM
To: HomeCareCoding-L
Subject: Re: [homecarecoding-l] CABG & MVR
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!
On Thu, Oct 13, 2016 at 11:43 AM, Lisa Engel wrote:
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
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. The integrity and security of this message cannot be guaranteed over the Internet.
Lisa
________________________________________
From: Valerie Mirabella [vmirabella@utopiahomecare.com]
Sent: Thursday, October 13, 2016 3:23 PM
To: HomeCareCoding-L
Subject: Re: [homecarecoding-l] CABG & MVR
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?
On Thu, Oct 13, 2016 at 4:06 PM, Lisa Engel wrote:
Ok, so I WOULD use the aftercare code, even if only for therapy!! Thank you!
________________________________________
From: Valerie Mirabella [vmirabella@utopiahomecare.com]
Sent: Thursday, October 13, 2016 2:12 PM
To: HomeCareCoding-L
Subject: Re: [homecarecoding-l] CABG & MVR
That's because I wrote it incorrectly-Sorry! The code is Z48.812.
On Thu, Oct 13, 2016 at 3:05 PM, Lisa Engel wrote:
Thank you Valerie---could you please verify that first code? Even when moving the decimal I do not come up with a valid code!
________________________________________
From: Valerie Mirabella [vmirabella@utopiahomecare.com]
Sent: Thursday, October 13, 2016 12:17 PM
To: HomeCareCoding-L
Subject: Re: [homecarecoding-l] CABG & MVR
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!
On Thu, Oct 13, 2016 at 11:43 AM, Lisa Engel wrote:
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
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. The integrity and security of this message cannot be guaranteed over the Internet.
Comments
feet, difficulty walking, etc because they are symptoms of a problem. If
you have a diagnosi,s code the diagnosis istead. ie dementia. If a pt has
dementia in time pt's forget how to walk, how eat, and there is muscle
weakness. I only code symptoms if the physician has no idea why there is
muscle weakness and there are repeated falls and a history of falls. If pt
come out of the hospital and there is an order for PT, code what they were
treated for in the hospital ie/CHF, respiratory infections. It's really up
to PT to explain the rest per article.