Cipro resistant

danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
in Home Care Coding General
Can anyone help guide me to the right code please?

Danie Stevens
Home Health Coder, RHIT
Essentia Health St. Mary's
114 Frazee Street East Detroit Lakes, MN 56501
218-314-7857
Danielle.Stevens@essentiahealth.org

Comments

  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    Z16.23 fluoroquinolones?
  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    The Zcodes I thought were history of resistance. If it is current infection it would be the bug causing the infection not the fact that it is resistant to medication. Just thinking out loud without looking anything up

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    This is a history, currently has an exacerbation of cystic fibrosis, on picc line but not coudie identified.
  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    Then yes go with the Z code to indicate the history

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    Maybe im reading it wrong...states "has been previously infected with MRSA, Pseudomonas (cipro resistant). Chronically on Bactrim to suppress staph since 2/16. No recent pseudomonas. Last exacerbation responded well to vancomycin."

    The only thing I question is the Bactrim and staph is that apart of the cystic fibrosis?
  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    Then I would just code the history of MRSA. And not worry about the history of the bugs.

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