Re: ICD-9 Coding

[Annita Booth]

Regarding coding a fracture in Long Term Care.  Did the fall happen at your facility?  Were they hospitalized and if so, what was done?  A hip replacement?  There are aftercare codes that you would use or physical therapy codes if they are coming to your facility for physical therapy.  What is the primary reason for their admission to your facility?  If it is for physical therapy, then you could use V57.1 and the aftercare code in the V54's.  The acute code is reserved for the first episode of care unless there is any required continued management directly to the fracture.

 

 

>From: [EMAIL PROTECTED] >Reply-To: [EMAIL PROTECTED] >To: [EMAIL PROTECTED] >Subject: Re: ICD-9 Coding >Date: Thu, 15 Apr 2004 17:59:50 EDT > >In a message dated 4/15/2004 8:18:29 AM Eastern Daylight Time, [EMAIL PROTECTED] >writes: >Patient is admitted post fall with hip fracture. There is a debate over >which is the primary diagnosis . Is it the fall or hip fracture. Do you >generally code a fall as a primary diagnosis or the cause for the fall such as gait >instability, ataxia etc? > >Thank You. >I've never coded the fall as a primary diagnosis. Usually it's what results >from the fall (ie-hip fracture) or the cause of it (weakness, vertigo, etc.). >Of course you code the fall in section J. Also I have the MD indicate the >primary diagnosis on his history and physical. That avoids any of those >problems. >J. Martin, RN >MDS Coordinator

---

Get rid of annoying pop-up ads with the new MSN Toolbar � FREE! /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/