Coding Question

lbyrumlbyrum
in Home Care Coding General
We are implementing new software and I am being told that the coding section in the software only allows for placement of 10 codes. Not sure how this affects being compliant as I was always told to code as many codes as necessary to paint the picture of the patient (I believe up to 24).

I am told I could type a note that would attach to the patients electronic chart with the additional diagnoses described.

Has anyone else out there worked with software that limited the number of codes and if so how did you fully code the patient? I have many patients that easily have 15 or more codes.

Any input would be greatly appreciated!!

Lisa Byrum RHIT, CCA, HCS-D-10
Quality Assurance Coordinator

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Comments

  • Unknown
    edited April 2017
    I use systems everyday that only allow 10 codes. We instruct the agency to add the additional diagnosis to the 485. It is entered into Locator 21. Like this:

    1. ADD TO THE 485 ADDITIONAL DIAGNOSIS: Z91.81 FALL HISTORY, S50811D SKIN TEAR RIGHT FOREARM, S50812 SKIN TEAR LEFT FOREARM, Z99.3 W/C BOUND


    Brandy Slate, RN, HCS-D, COS-C

    Chief Operating Officer

    Codes Correct

    off: (903) 549-2115

    c: (903) 724-3131

    f: (866) 564-2312

    brandy.slate@codescorrect.com
  • BrendaBrenda
    edited April 2017
    Thanks for the advice, it was SHP, and there were more severe dx to be assigned.


    Brenda Hoss
    Coder
  • ericcabali18ericcabali18
    edited April 2017
    For me if the focus of care is Dm 2 with ckd - E11.22,I13.0,I50.9, N18.9If the focus of care is HTN -  I13.0, E11.22 I50.9, N18.9
  • BrendaBrenda
    edited April 2017
    RE-sending...


    Brenda Hoss
    Coder

    Pt was third trimester pregnant at time of fall which caused abductor strain. Now we are seeing patient after delivery for the strain.
    Pt is insurance so no oaisis Dx codes.

    Is this correct, O9A.23 then S76.211D?
  • sandy.burton@allina.comsandy.burton@allina.com
    edited April 2017
    Yes I agree with your codes

    Sandy Burton
    Coding Specialist 1
    HCS-D-10
    Allina Health
    612-262-7141
  • jerusalem25@live.comjerusalem25@live.com
    edited April 2017
    You use both I130
    I5020
    E1122
    N184
    E1143
    K3184
  • dchapman@vnacapecod.orgdchapman@vnacapecod.org
    Probably a diabetic ulcer. But you need MD to confirm and give you an idea of depth, (skin layer only, fat layer, muscle or bone necrosis).
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