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Hi Brenda, This had come up in one of my
facilities a while back and we were directed by our state RAI (NJ) staff to
also code therapeutic diet for tube feeding such as glucerna .
Jeanne
----- Original Message -----
Sent: Monday, February 02, 2004 11:41
AM
Subject: question re: section k
Rena or someone else out there,
In the PPS Alert, there was a question posed about
therapeutic diets and tube feedings. The question was if you had a
resident receiving only glucerna tube feedings (no oral intake) due to
diabetes, would you code therapeutic diet as well as tube feedings? I
have never done this in the past and this is a gray area. In the manual,
it states �a diet ordered to manage problematic health-conditions.
Examples include calorie-specific, low-salt, low-fat lactose, no added sugar,
and supplements during meals.� The answer was that you would code
therapeutic diet. I have not done this in the past. If this is the
case, then most of our tube feeders would be coded as a therapeutic diet
since it is treating problematic health problems, ie inability to eat, skin
breakdown, etc. What is the correct coding?
Thanks!
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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