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There are various clinical criteria for malnutrition and payers may require different criterions for reporting malnutrition. Which clinical criteria should coding professionals use when reporting a...
It is outsid...
There are new ASPEN clinical indicators for preterm and neonate malnutrition. Would it be appropriate to assign codes based solely on the ASPEN clinical indicators for preterm and neonate malnutrit...
No. The assi...
How should severe malnourishment/severely malnourished be coded given that “malnourish” is not found in the Alphabetic Index? Can we assume this is synonymous to severe malnutrition?
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The attending physician states “malnutrition” with unspecified severity in the record. The final impression on the dietitian’s consultation was “Severe Malnutrition.” Could the malnutriti...
No, there ar...
A registered dietician assessed the patient, and documented severe malnutrition. Following dietary assessment, the physician reviews the information and signs off via e-signature. Since the dietary...
It is beyond...
A patient presents with recurring nausea and vomiting for 4-5 days. The provider documented cannabinoid hyperemesis syndrome. What is the appropriate code assignment for cannabinoid hyperemesis syn...
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The Official Guidelines for Coding and Reporting for Psychoactive Substance Use, Unspecified (I.C.5.b.3.) state, “These codes are to be used only when the psychoactive substance use is associated...
Effective Oc...
A patient is diagnosed with acute alcoholic pancreatitis due to alcohol dependence. Would it be appropriate to assign code F10.288, Alcohol dependence with other alcohol-induced disorder, as an add...
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A 27-year-old female presented for delivery, at 37 weeks gestation. She was found to have fluid leak, and fever. The provider diagnosed an active group B Streptococcus (GBS) infection, which was tr...
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For the above patient, who is receiving CPAP at night and intermittently during the day, would it be appropriate to assign code Z99.89, Dependence on other enabling machines and devices, to describ...
No. Code Z99...