bacteremia...

dreadrewdreadrew
in Home Care Coding General
MD states "MDR ecoli bacteremia w/ cholangitis, in setting of HCC" (liver cancer)
how would this get coded?
I have:
K83.0
R78.81
B96.20
C22.8

I don't think its correct... Help!

Comments

  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    Are you doing IV's or anything for this? Is patient on Antibiotic?

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • dreadrewdreadrew
    IV antibiotics
  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    Ok, there is an Excludes 1 note under the Bacteremia regarding use of B96.20 so this is how I would code it, not saying I am right but after looking things up here goes:

    R78.81
    K83.0
    Z45.2
    C22.8

    Then I would also code any co-morbidities going on with patient.

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • dreadrewdreadrew
    I see the excludes note now... thanks.. I wonder if I can use the ecoli code under the cholangitis?
  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    Try it, if you have a program that you can run oasis check it would give you error warning regarding the exclusion notes. I use Kinnser and I know when I run the PPS + analysis it will tell me

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
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