help

pwalkerpwalker
edited April 2017 in Home Care Coding General
What do you use in M1011 when pt was in hospital for a colostomy take down? thanks

Pam Walker, RN
Director Home Health
Harrison County Community Hospital District
3202 Miller, Ste B
Bethany, MO 64424

Office: (660) 425-7863 | Fax: (660) 425-8026
Cell: (816) 646-5403
Email: pwalker@hcchospital.org | www.hcchospital.org

Comments

  • vmirabella@utopiahomecare.comvmirabella@utopiahomecare.com
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    code aftercare for wound care. Don't continue with the complication code.

    On Tue, Apr 25, 2017 at 2:52 PM, Janet Crimmins
    wrote:

    > original diagnosis was T81.xxD for wound care s/p infection after
    > surgery.....we are recerting pt....for continued wound care..infection is
    > gone...What do I use for a dx now?
    > ---
    > This list is a co-sponsored service of the Board of Medical Specialty
    > Coding & Compliance (http://www.medicalspecialtycoding.com) and
    > DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis
    > Coding Pro for Home Health. To access the web interface, go to
    > http://www.decisionhealth.com/homecarecoding-l and enter your e-mail
    > address. Click on the My Account tab and then the Advanced tab to set or
    > change your password. Click on the Essentials tab and Membership Type to
    > set the way you want to access list messages.
    >

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    Content-Transfer-Encoding: quoted-printable

    code aftercare for wound care. Don't continue with the=
    complication code.
    On Tue, Apr 25, 2017 at 2:52 PM, Janet Crimmins &=
    lt;jcrimmin=
    s@stoughton-ma.gov    > wrote:
    =
    original diagnosis was T81.xxD for wound care s/p infection after surgery..=
    ...we are recerting pt....for continued wound care..infection is gone...Wha=
    t do I use for a dx now?

    ---

    This list is a co-sponsored service of the Board of Medical Specialty Codin=
    g & Compliance (http://www.medicalspecialtycoding.co=
    m    ) and DecisionHealth (http://www.decisionhealth.com), pub=
    lisher of Diagnosis Coding Pro for Home Health. To access the web interface=
    , go to http://www.decisionhealth.com/homecarecod=
    ing-l     and enter your e-mail address. Click on the My Account tab and th=
    en the Advanced tab to set or change your password. Click on the Essentials=
    tab and Membership Type to set the way you want to access list messages.

    --001a1143a15612468f054e02b910--
  • lisa.sharpe@sanfordhealth.orglisa.sharpe@sanfordhealth.org
    I just read this scenario in a Diagnosis Coding Pro from Oct 2016, I'm a little behind. :)
    I don't think anything has changed tho - it says "Once a complication, always a complication" If the cellulitis and infection resolve and the wound still requires ongoing care, continue to code it with T81.4xxD and drop the bug and cellulitis codes.

    Lisa Sharpe, HCS-D
    Coding Specialist
    Sanford Bemidji HomeCare and Hospice
    3201 Pine Ridge Ave NW RT# 10800
    Bemidji MN 56601
    Phone 218-333-5764  Fax 218-333-6017
    lisa.sharpe@sanfordhealth.org



    -----Original Message-----
    From: Janet Crimmins [mailto:jcrimmins@stoughton-ma.gov]
    Sent: Tuesday, April 25, 2017 1:53 PM
    To: HomeCareCoding-L
    Subject: [EXTERNAL] [homecarecoding-l] help

    original diagnosis was T81.xxD for wound care s/p infection after surgery.....we are recerting pt....for continued wound care..infection is gone...What do I use for a dx now?
    ---
    This list is a co-sponsored service of the Board of Medical Specialty Coding & Compliance (http://www.medicalspecialtycoding.com) and DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis Coding Pro for Home Health. To access the web interface, go to http://www.decisionhealth.com/homecarecoding-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages.
    -----------------------------------------------------------------------
    Confidentiality Notice: This e-mail message, including any attachments,
    is for the sole use of the intended recipient(s) and may contain
    privileged and confidential information. Any unauthorized review, use,
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  • jcrimmins@stoughton-ma.govjcrimmins@stoughton-ma.gov
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    Thank you Lisa, I was thinking that also...but didn't want to commit.

    On Tue, Apr 25, 2017 at 4:08 PM, Sharpe,Lisa
    wrote:

    > I just read this scenario in a Diagnosis Coding Pro from Oct 2016, I'm a
    > little behind. :)
    > I don't think anything has changed tho - it says "Once a complication,
    > always a complication" If the cellulitis and infection resolve and the
    > wound still requires ongoing care, continue to code it with T81.4xxD and
    > drop the bug and cellulitis codes.
    >
    > Lisa Sharpe, HCS-D
    > Coding Specialist
    > Sanford Bemidji HomeCare and Hospice
    > 3201 Pine Ridge Ave NW RT# 10800
    > Bemidji MN 56601
    > Phone 218-333-5764 Fax 218-333-6017
    > lisa.sharpe@sanfordhealth.org
    >
    >
    >
    > -----Original Message-----
    > From: Janet Crimmins [mailto:jcrimmins@stoughton-ma.gov]
    > Sent: Tuesday, April 25, 2017 1:53 PM
    > To: HomeCareCoding-L
    > Subject: [EXTERNAL] [homecarecoding-l] help
    >
    > original diagnosis was T81.xxD for wound care s/p infection after
    > surgery.....we are recerting pt....for continued wound care..infection is
    > gone...What do I use for a dx now?
    > ---
    > This list is a co-sponsored service of the Board of Medical Specialty
    > Coding & Compliance (http://www.medicalspecialtycoding.com) and
    > DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis
    > Coding Pro for Home Health. To access the web interface, go to
    > http://www.decisionhealth.com/homecarecoding-l and enter your e-mail
    > address. Click on the My Account tab and then the Advanced tab to set or
    > change your password. Click on the Essentials tab and Membership Type to
    > set the way you want to access list messages.
    > -----------------------------------------------------------------------
    > Confidentiality Notice: This e-mail message, including any attachments,
    > is for the sole use of the intended recipient(s) and may contain
    > privileged and confidential 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.
    >
    > ---
    > This list is a co-sponsored service of the Board of Medical Specialty
    > Coding & Compliance (http://www.medicalspecialtycoding.com) and
    > DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis
    > Coding Pro for Home Health. To access the web interface, go to
    > http://www.decisionhealth.com/homecarecoding-l and enter your e-mail
    > address. Click on the My Account tab and then the Advanced tab to set or
    > change your password. Click on the Essentials tab and Membership Type to
    > set the way you want to access list messages.
    >



    --
    Janet Crimmins R.N.
    Assistant Administrator
    QI/QA manager
    Stoughton Public Health Association & VNA
    10 Pearl St
    Stoughton Ma 02072

    --001a1143f38eb40fff054e035229
    Content-Type: text/html; charset=UTF-8
    Content-Transfer-Encoding: quoted-printable

    Thank you Lisa, I was thinking that also...but didn't =
    want to commit.
    On Tue, Apr 25, 2017 at 4:08 PM, Sharpe,Lisa <Lisa.Sharpe=
    @sanfordhealth.org    > wrote:
    =
    I just read this scenario in a Diagnosis Coding Pro from Oct 2016, I'm =
    a little behind. :)

    I don't think anything has changed tho - it says "Once a complicat=
    ion, always a complication" If the cellulitis and infection resolve an=
    d the wound still requires ongoing care, continue to code it with T81.4xxD =
    and drop the bug and cellulitis codes.



    Lisa Sharpe, HCS-D

    Coding Specialist

    Sanford Bemidji HomeCare and Hospice

    3201 Pine Ridge Ave NW=C2=A0 =C2=A0RT# 10800

    Bemidji MN 56601

    Phone 218-333-5764=
    =C2=A0 Fax 218-333-6017=


    lisa.sharpe@sanfordhealth.=
    org







    -----Original Message-----

    From: Janet Crimmins [mailto:=
    jcrimmins@stoughton-ma.gov    ]

    Sent: Tuesday, April 25, 2017 1:53 PM

    To: HomeCareCoding-L

    Subject: [EXTERNAL] [homecarecoding-l] help



    original diagnosis was T81.xxD for wound care s/p infection after surgery..=
    ...we are recerting pt....for continued wound care..infection is gone...Wha=
    t do I use for a dx now?

    ---

    This list is a co-sponsored service of the Board of Medical Specialty Codin=
    g & Compliance (http://www.medicalspecialtycoding.com) and DecisionHealth (http://www.decisionhealth.com), pub=
    lisher of Diagnosis Coding Pro for Home Health. To access the web interface=
    , go to http://www.decisionhealth.com/homecarec=
    oding-l     and enter your e-mail address. Click on the My Account tab and =
    then the Advanced tab to set or change your password. Click on the Essentia=
    ls tab and Membership Type to set the way you want to access list messages.=


    -----------------------------------------------------------------------

    Confidentiality Notice: This e-mail message, including any attachments,

    is for the sole use of the intended recipient(s) and may contain

    privileged and confidential information.=C2=A0 Any unauthorized review, use=
    ,

    disclosure or distribution is prohibited.=C2=A0 If you are not the intended=


    recipient, please contact the sender by reply e-mail and destroy

    all copies of the original message.



    ---

    This list is a co-sponsored service of the Board of Medical Specialty Codin=
    g & Compliance (http://www.medicalspecialtycoding.com) and DecisionHealth (http://www.decisionhealth.com), pub=
    lisher of Diagnosis Coding Pro for Home Health. To access the web interface=
    , go to http://www.decisionhealth.com/homecarec=
    oding-l     and enter your e-mail address. Click on the My Account tab and =
    then the Advanced tab to set or change your password. Click on the Essentia=
    ls tab and Membership Type to set the way you want to access list messages.=


    --
    Ja=
    net Crimmins R.N.Assistant AdministratorQI/QA manager=
    Stoughton Public Health Association & VNA10 Pearl St=C2=
    =A0Stoughton Ma 02072


    --001a1143f38eb40fff054e035229--
  • lhoyer2lhoyer2
    I'm curious - would the 7th digit remain "D" or get changed to an "S?"

    -----Original Message-----
    From: Sharpe,Lisa [mailto:Lisa.Sharpe@SanfordHealth.org]
    Sent: Tuesday, April 25, 2017 3:09 PM
    To: HomeCareCoding-L
    Subject: RE: [EXTERNAL] [homecarecoding-l] help

    I just read this scenario in a Diagnosis Coding Pro from Oct 2016, I'm a little behind. :)

    I don't think anything has changed tho - it says "Once a complication, always a complication" If the cellulitis and infection resolve and the wound still requires ongoing care, continue to code it with T81.4xxD and drop the bug and cellulitis codes.



    Lisa Sharpe, HCS-D

    Coding Specialist

    Sanford Bemidji HomeCare and Hospice

    3201 Pine Ridge Ave NW RT# 10800

    Bemidji MN 56601

    Phone 218-333-5764  Fax 218-333-6017

    lisa.sharpe@sanfordhealth.org







    -----Original Message-----

    From: Janet Crimmins [mailto:jcrimmins@stoughton-ma.gov]

    Sent: Tuesday, April 25, 2017 1:53 PM

    To: HomeCareCoding-L

    Subject: [EXTERNAL] [homecarecoding-l] help



    original diagnosis was T81.xxD for wound care s/p infection after surgery.....we are recerting pt....for continued wound care..infection is gone...What do I use for a dx now?

    ---

    This list is a co-sponsored service of the Board of Medical Specialty Coding & Compliance (https://urldefense.proofpoint.com/v2/url?u=http-3A__www.medicalspecialtycoding.com&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=9x-or2wKZZ6ggRpfMUe5TCByc01qRAmTP8igCxyGGVg&m=syuXGn8-Kgv7fp-2APKCvzll9ns5n7NTjbWDZUjHh2s&s=5KH_mF3gYVo9Iy9saVAcV5lLTmo9vtyjHGOKcqyEQ08&e= ) and DecisionHealth (https://urldefense.proofpoint.com/v2/url?u=http-3A__www.decisionhealth.com&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=9x-or2wKZZ6ggRpfMUe5TCByc01qRAmTP8igCxyGGVg&m=syuXGn8-Kgv7fp-2APKCvzll9ns5n7NTjbWDZUjHh2s&s=tFbDXkC8GdLhQnOYjQQ_e2FDCBl_XLfzfioZKdsjA9E&e= ), publisher of Diagnosis Coding Pro for Home Health. To access the web interface, go to https://urldefense.proofpoint.com/v2/url?u=http-3A__www.decisionhealth.com_homecarecoding-2Dl&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=9x-or2wKZZ6ggRpfMUe5TCByc01qRAmTP8igCxyGGVg&m=syuXGn8-Kgv7fp-2APKCvzll9ns5n7NTjbWDZUjHh2s&s=jPho6k0StlirSPZlI94xTA_ld-j4SIX04uivNTCylOo&e= and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages.

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    The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material, including 'protected health information'. If you are not the intended recipient, you are hereby notified that any review, retransmission, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please destroy and delete this message from any computer and contact us immediately by return e-mail.
  • lisa.sharpe@sanfordhealth.orglisa.sharpe@sanfordhealth.org
    No "S" -it's still in the healing/recovery phase.

    Lisa Sharpe, HCS-D
    Coding Specialist
    Sanford Bemidji HomeCare and Hospice
    3201 Pine Ridge Ave NW RT# 10800
    Bemidji MN 56601
    Phone 218-333-5764  Fax 218-333-6017
    lisa.sharpe@sanfordhealth.org



    -----Original Message-----
    From: Hoyer, Lois [mailto:lhoyer2@Fairview.org]
    Sent: Tuesday, April 25, 2017 3:26 PM
    To: HomeCareCoding-L
    Subject: RE: [EXTERNAL] [homecarecoding-l] help

    I'm curious - would the 7th digit remain "D" or get changed to an "S?"

    -----Original Message-----
    From: Sharpe,Lisa [mailto:Lisa.Sharpe@SanfordHealth.org]
    Sent: Tuesday, April 25, 2017 3:09 PM
    To: HomeCareCoding-L
    Subject: RE: [EXTERNAL] [homecarecoding-l] help

    I just read this scenario in a Diagnosis Coding Pro from Oct 2016, I'm a little behind. :)

    I don't think anything has changed tho - it says "Once a complication, always a complication" If the cellulitis and infection resolve and the wound still requires ongoing care, continue to code it with T81.4xxD and drop the bug and cellulitis codes.



    Lisa Sharpe, HCS-D

    Coding Specialist

    Sanford Bemidji HomeCare and Hospice

    3201 Pine Ridge Ave NW RT# 10800

    Bemidji MN 56601

    Phone 218-333-5764  Fax 218-333-6017

    lisa.sharpe@sanfordhealth.org







    -----Original Message-----

    From: Janet Crimmins [mailto:jcrimmins@stoughton-ma.gov]

    Sent: Tuesday, April 25, 2017 1:53 PM

    To: HomeCareCoding-L

    Subject: [EXTERNAL] [homecarecoding-l] help



    original diagnosis was T81.xxD for wound care s/p infection after surgery.....we are recerting pt....for continued wound care..infection is gone...What do I use for a dx now?

    ---

    This list is a co-sponsored service of the Board of Medical Specialty Coding & Compliance (https://urldefense.proofpoint.com/v2/url?u=http-3A__www.medicalspecialtycoding.com&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=9x-or2wKZZ6ggRpfMUe5TCByc01qRAmTP8igCxyGGVg&m=syuXGn8-Kgv7fp-2APKCvzll9ns5n7NTjbWDZUjHh2s&s=5KH_mF3gYVo9Iy9saVAcV5lLTmo9vtyjHGOKcqyEQ08&e= ) and DecisionHealth (https://urldefense.proofpoint.com/v2/url?u=http-3A__www.decisionhealth.com&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=9x-or2wKZZ6ggRpfMUe5TCByc01qRAmTP8igCxyGGVg&m=syuXGn8-Kgv7fp-2APKCvzll9ns5n7NTjbWDZUjHh2s&s=tFbDXkC8GdLhQnOYjQQ_e2FDCBl_XLfzfioZKdsjA9E&e= ), publisher of Diagnosis Coding Pro for Home Health. To access the web interface, go to https://urldefense.proofpoint.com/v2/url?u=http-3A__www.decisionhealth.com_homecarecoding-2Dl&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=9x-or2wKZZ6ggRpfMUe5TCByc01qRAmTP8igCxyGGVg&m=syuXGn8-Kgv7fp-2APKCvzll9ns5n7NTjbWDZUjHh2s&s=jPho6k0StlirSPZlI94xTA_ld-j4SIX04uivNTCylOo&e= and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages.

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    ---

    This list is a co-sponsored service of the Board of Medical Specialty Coding & Compliance (https://urldefense.proofpoint.com/v2/url?u=http-3A__www.medicalspecialtycoding.com&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=9x-or2wKZZ6ggRpfMUe5TCByc01qRAmTP8igCxyGGVg&m=syuXGn8-Kgv7fp-2APKCvzll9ns5n7NTjbWDZUjHh2s&s=5KH_mF3gYVo9Iy9saVAcV5lLTmo9vtyjHGOKcqyEQ08&e= ) and DecisionHealth (https://urldefense.proofpoint.com/v2/url?u=http-3A__www.decisionhealth.com&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=9x-or2wKZZ6ggRpfMUe5TCByc01qRAmTP8igCxyGGVg&m=syuXGn8-Kgv7fp-2APKCvzll9ns5n7NTjbWDZUjHh2s&s=tFbDXkC8GdLhQnOYjQQ_e2FDCBl_XLfzfioZKdsjA9E&e= ), publisher of Diagnosis Coding Pro for Home Health. To access the web interface, go to https://urldefense.proofpoint.com/v2/url?u=http-3A__www.decisionhealth.com_homecarecoding-2Dl&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=9x-or2wKZZ6ggRpfMUe5TCByc01qRAmTP8igCxyGGVg&m=syuXGn8-Kgv7fp-2APKCvzll9ns5n7NTjbWDZUjHh2s&s=jPho6k0StlirSPZlI94xTA_ld-j4SIX04uivNTCylOo&e= and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages.


    The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material, including 'protected health information'. If you are not the intended recipient, you are hereby notified that any review, retransmission, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please destroy and delete this message from any computer and contact us immediately by return e-mail.
    ---
    This list is a co-sponsored service of the Board of Medical Specialty Coding & Compliance (http://www.medicalspecialtycoding.com) and DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis Coding Pro for Home Health. To access the web interface, go to http://www.decisionhealth.com/homecarecoding-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages.
  • vmirabella@utopiahomecare.comvmirabella@utopiahomecare.com
    --94eb2c19ffa6df3f53054e03c0eb
    Content-Type: text/plain; charset=UTF-8

    No Once the infection is gone you are no longer treating an infection. You
    are now treating for routine healing. Code the routine aftercare code

    On Tue, Apr 25, 2017 at 4:08 PM, Sharpe,Lisa
    wrote:

    > I just read this scenario in a Diagnosis Coding Pro from Oct 2016, I'm a
    > little behind. :)
    > I don't think anything has changed tho - it says "Once a complication,
    > always a complication" If the cellulitis and infection resolve and the
    > wound still requires ongoing care, continue to code it with T81.4xxD and
    > drop the bug and cellulitis codes.
    >
    > Lisa Sharpe, HCS-D
    > Coding Specialist
    > Sanford Bemidji HomeCare and Hospice
    > 3201 Pine Ridge Ave NW RT# 10800
    > Bemidji MN 56601
    > Phone 218-333-5764 Fax 218-333-6017
    > lisa.sharpe@sanfordhealth.org
    >
    >
    >
    > -----Original Message-----
    > From: Janet Crimmins [mailto:jcrimmins@stoughton-ma.gov]
    > Sent: Tuesday, April 25, 2017 1:53 PM
    > To: HomeCareCoding-L
    > Subject: [EXTERNAL] [homecarecoding-l] help
    >
    > original diagnosis was T81.xxD for wound care s/p infection after
    > surgery.....we are recerting pt....for continued wound care..infection is
    > gone...What do I use for a dx now?
    > ---
    > This list is a co-sponsored service of the Board of Medical Specialty
    > Coding & Compliance (http://www.medicalspecialtycoding.com) and
    > DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis
    > Coding Pro for Home Health. To access the web interface, go to
    > http://www.decisionhealth.com/homecarecoding-l and enter your e-mail
    > address. Click on the My Account tab and then the Advanced tab to set or
    > change your password. Click on the Essentials tab and Membership Type to
    > set the way you want to access list messages.
    > -----------------------------------------------------------------------
    > Confidentiality Notice: This e-mail message, including any attachments,
    > is for the sole use of the intended recipient(s) and may contain
    > privileged and confidential 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.
    >
    > ---
    > This list is a co-sponsored service of the Board of Medical Specialty
    > Coding & Compliance (http://www.medicalspecialtycoding.com) and
    > DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis
    > Coding Pro for Home Health. To access the web interface, go to
    > http://www.decisionhealth.com/homecarecoding-l and enter your e-mail
    > address. Click on the My Account tab and then the Advanced tab to set or
    > change your password. Click on the Essentials tab and Membership Type to
    > set the way you want to access list messages.

    --94eb2c19ffa6df3f53054e03c0eb
    Content-Type: text/html; charset=UTF-8
    Content-Transfer-Encoding: quoted-printable

    No Once the infection is gone you are no longer treating a=
    n infection. You are now treating for routine healing. Code the routine aft=
    ercare code
    =
    On Tue, Apr 25, 2017 at 4:08 PM, Sharpe,Lisa <Lisa.Sharpe@san=
    fordhealth.org    > wrote:
    I ju=
    st read this scenario in a Diagnosis Coding Pro from Oct 2016, I'm a li=
    ttle behind. :)

    I don't think anything has changed tho - it says "Once a complicat=
    ion, always a complication" If the cellulitis and infection resolve an=
    d the wound still requires ongoing care, continue to code it with T81.4xxD =
    and drop the bug and cellulitis codes.



    Lisa Sharpe, HCS-D

    Coding Specialist

    Sanford Bemidji HomeCare and Hospice

    3201 Pine Ridge Ave NW=C2=A0 =C2=A0RT# 10800

    Bemidji MN 56601

    Phone 218-333-5764=
    =C2=A0 Fax 218-333-6017=


    lisa.sharpe@sanfordhealth.=
    org







    -----Original Message-----

    From: Janet Crimmins [mailto:=
    jcrimmins@stoughton-ma.gov    ]

    Sent: Tuesday, April 25, 2017 1:53 PM

    To: HomeCareCoding-L

    Subject: [EXTERNAL] [homecarecoding-l] help



    original diagnosis was T81.xxD for wound care s/p infection after surgery..=
    ...we are recerting pt....for continued wound care..infection is gone...Wha=
    t do I use for a dx now?

    ---

    This list is a co-sponsored service of the Board of Medical Specialty Codin=
    g & Compliance (http://www.medicalspecialtycoding.co=
    m    ) and DecisionHealth (http://www.decisionhealth.com), pub=
    lisher of Diagnosis Coding Pro for Home Health. To access the web interface=
    , go to http://www.decisionhealth.com/homecarecod=
    ing-l     and enter your e-mail address. Click on the My Account tab and th=
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  • jamie.seghers@amedisys.comjamie.seghers@amedisys.com
    Once there is a complication like infection you code the complication until the wound is healed. while the complication is active the 7th character is A once it is resolved it becomes D. so if you have a post op infection while the patient is on antibiotics it would be T81.4XXA. Once the infection is resolved and we are doing wound care for the recovery phase of that complication the code is T81.4XXD.

    Thanks,
    Jamie Seghers, HCS-D, BCHH-C, COS-C, HCS-H
    Medical Coding Manager
    Office Phone: 844-839-0061
    Cisco ext. 5040
    Fax: 877-751-5987

    From: Valerie Mirabella [mailto:vmirabella@utopiahomecare.com]
    Sent: Tuesday, April 25, 2017 3:42 PM
    To: HomeCareCoding-L
    Subject: Re: [EXTERNAL] [homecarecoding-l] help

    No Once the infection is gone you are no longer treating an infection. You are now treating for routine healing. Code the routine aftercare code

    On Tue, Apr 25, 2017 at 4:08 PM, Sharpe,Lisa wrote:
    I just read this scenario in a Diagnosis Coding Pro from Oct 2016, I'm a little behind. :)
    I don't think anything has changed tho - it says "Once a complication, always a complication" If the cellulitis and infection resolve and the wound still requires ongoing care, continue to code it with T81.4xxD and drop the bug and cellulitis codes.

    Lisa Sharpe, HCS-D
    Coding Specialist
    Sanford Bemidji HomeCare and Hospice
    3201 Pine Ridge Ave NW RT# 10800
    Bemidji MN 56601
    Phone 218-333-5764 Fax 218-333-6017
    lisa.sharpe@sanfordhealth.org



    -----Original Message-----
    From: Janet Crimmins [mailto:jcrimmins@stoughton-ma.gov]
    Sent: Tuesday, April 25, 2017 1:53 PM
    To: HomeCareCoding-L
    Subject: [EXTERNAL] [homecarecoding-l] help

    original diagnosis was T81.xxD for wound care s/p infection after surgery.....we are recerting pt....for continued wound care..infection is gone...What do I use for a dx now?
    ---
    This list is a co-sponsored service of the Board of Medical Specialty Coding & Compliance (http://www.medicalspecialtycoding.com) and DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis Coding Pro for Home Health. To access the web interface, go to http://www.decisionhealth.com/homecarecoding-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages.
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    all copies of the original message.

    ---
    This list is a co-sponsored service of the Board of Medical Specialty Coding & Compliance (http://www.medicalspecialtycoding.com) and DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis Coding Pro for Home Health. To access the web interface, go to http://www.decisionhealth.com/homecarecoding-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages.


    ---

    This list is a co-sponsored service of the Board of Medical Specialty Coding & Compliance (http://www.medicalspecialtycoding.com) and DecisionHealth (http://www.decisionhealth.com), publisher of Diagnosis Coding Pro for Home Health. To access the web interface, go to http://www.decisionhealth.com/homecarecoding-l and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages.

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