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Some payers are denying claims when heart failure or sepsis codes are sequenced as the principal diagnosis because they are misinterpreting the “code first” note at categories I50, Heart failur...
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Please clarify which guidelines in the ICD-10-CM Official Guidelines for Coding and Reporting apply to physical therapists reporting diagnoses for outpatient physical therapy treatments. For exampl...
Yes. The gui...
A patient was diagnosed with a right traumatic anterior cruciate ligament (ACL) tear and presents for outpatient physical therapy treatment. The physician’s prescription documents, right ACL tear...
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A patient was referred to outpatient physical therapy ten days post discharge from the acute care hospital burn center. He had suffered third degree burns to both the right and left lower leg and t...
Active wound...
A patient sustained a Colles’ fracture of her left upper extremity after slipping and falling on an icy sidewalk four months ago. At that time, she was admitted and the fracture treated by open r...
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The patient is referred to outpatient physical therapy for rehabilitation and functional training following an admission for treatment of skin contractures resulting from a third degree burn of the...
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The patient presents to outpatient physical therapy for follow-up of healing third degree burns of the chest wall that occurred due to a house fire four-months ago. The physical therapist performed...
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An elderly patient with end-stage Alzheimer’s disease, dementia and functional quadriplegia, who is completely immobile due to bilateral joint contractures of the hip and knees, receives home hea...
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A patient with a known diagnosis of Parkinson’s disease with frequent falls and lack of coordination is referred by the physician for physical therapy for fall prevention. What diagnosis codes sh...
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A patient with low back pain and sciatica with left lower extremity pain radiating to the knee and difficulty walking was seen by an orthopedist and referred to physical therapy (PT). The primary r...
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