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How should malnutrition that progresses in severity be coded? For example, moderate protein calorie malnutrition is documented on admission but progresses to severe protein calorie malnutrition dur...
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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 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...
The patient is a 65-year-old man, who presents with symptomatic persistent atrial fibrillation (AF) despite medical therapy, and was referred for redo ablation procedure. A hybrid ablation converge...
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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...