Endogenous Depression

ddouthitddouthit
in CDI Talk Archive
We recently underwent a CDI chart audit. One of the consultant's recomendations is to query for endogenous depression if "depression" only is documented.
The code for endogenous depression is 296.20, Major depressive disorder, single episode, unspecified, for major depression.
This code is a cc.
Two fold question:
1)Are you seeing endogenous depression documented by physicians?
2) If not, and depression is documented are you querying for further specificity of depression? And if so, would you be willing to share query sample?

Thank you!
Dorie Douthit RHIT,CCS

Comments

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    Interesting. I have never heard this!

    Interested in hearing other responses....

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404


  • robert.hodges2robert.hodges2
    edited May 2016
    I don't normally query for depression because while many of our patients have it, not all are seen by a psychiatrist or mental health NP so we could capture the code and hospitalists remind me that they are internists and not mental health professionals. We do have a query form for this, but have never heard of the term endogenous depression before much less seen it documented by any of our numerous mental health providers. I do frequently see Major Depressive Disorder documented.

    Robert

    Robert S. Hodges, BSN, MSN, RN, CCDS
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  • sharon.colesharon.cole
    edited May 2016
    Most of the physicians I work with refer their pts to a psychiatrist so they won't document that specifically since they are not the treating physician.
  • Unknown
    edited May 2016
    I think I see a query opportunity here. When entering into the encoder:

    depression, mental, endogenous, single episode/unspecified

    then your choices are: mild, mod, severe {with/without psychotic behavior}, remission {partial/unspecified/full} and unspecified

    A query would obtain the highest level of specificity.
    All give a CC except the remission codes give a CC.




    Charlene Thiry RN, BSN, CPC, CCDS
    Clinical Documentation Specialist
    Quality Resources
    Menorah Medical Center
    5721 W. 119th Street | Overland Park, Kansas 66209
    Charlene.Thiry@hcahealthcare.com
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  • ddouthitddouthit
    edited May 2016
    Charlene,

    Our issue is that "depression" only is documented in the chart, endogenous depression is not documented in the chart nor treated with anything but regular home meds, so not sure our hospitalist are going to be comfortable with documenting endogenous depression. We are going to meet with our physician champion next week.

    Dorie Douthit, RHIT,CCS

  • Unknown
    edited May 2016
    If I only had depression, I would not query either.

    But if someone does document 'endogenous depression' for further specificity one could query for mild/mod/severe/remission status.




    Charlene Thiry RN, BSN, CPC, CCDS
    Clinical Documentation Specialist
    Quality Resources
    Menorah Medical Center
    5721 W. 119th Street | Overland Park, Kansas 66209
    Charlene.Thiry@hcahealthcare.com
    Mobile: 913-498-6388
    www.menorahmedicalcenter.com



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