Re: ICD-9 Coding

[Denice Stelly]

Princial diagnosis would be the V code for aftercare following hip fracture

and V codes for therapy (if appropriate).

 

Billing of the UB-92 - principal dx will be V code - chief reason for Skilling resident.

 

Do not code the hip fracture (800 level code) -  You could add Status Post Hip Fracture to your Accumulative Diagnosis sheet.

Denice Stelly, RHIA

[EMAIL PROTECTED] wrote:

What code are you using for a 'FALL'?

 

Delores

 

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

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