Hospice coding

cmercier@vnhsc.orgcmercier@vnhsc.org
in Home Care Coding General
If MD documents dx of CKD,stage unspec and documents HTN as non-relevant dx, do I still code to I12.9, N18.9? I've been coding it this way but now I'm beginning to wonder if I'm coding correctly, and what if CKD is the primary Dx. These combination codes are confusing when it comes to Hospice's relevant dx vs non-relevant dx.
Please advise.
Thank you!

Comments

  • cmercier@vnhsc.orgcmercier@vnhsc.org
    Patient is new to this area, new PCP so history is limited. Does have a h/o TBI approx. 30years ago has significant weakness, cognitive limitations,and functional decline, Rt leg weak, Rt arm contracted, dementia. Requires assist with all adl's, iadl's, loss of ability to feed self, incontinent B&B, speaks in gibberish, increased confusion, rapid decline when in ECF, now home with family.
    What should I use for Primary Dx? Would I have to go with symptom codes since no sequelae for Traumatic Brain Injury?
    Please help!
    Thank you!
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