direct admit for initiation of sotalol

msjonesmsjones
edited May 2016 in CDI Talk Archive
Good afternoon all,
I have a question regarding how to code a chart for direct admission for initiation of sotalol. Pt has a hx of afib and was previously taking amiodarone which was recently stopped secondary to side effects. Being started on sotalol which will require hospitalization for close cardiac monitoring and daily EKG's. Can anyone help with this? My coding help is not available this afternoon for me to discuss w/ her. Thanks!

Michelle Jones, RN, BSN
Clinical Documentation Specialist
Vidant Roanoke Chowan Hospital
252-209-3012
msjones@vidanthealth.com

Comments

  • kmckaigkmckaig
    edited May 2016
    My thought is the diagnosis that is requiring the sotalol. Chronic afib etc.
    Karen


    Karen McKaig, BSN, RN, CCM, CPUR, CCDS
    Case Manager
    Clinical Documentation Specialist
    Baxter Regional Medical Center
    Mountain Home, AR 72653
    870-508-1499
    kmckaig@baxterregional.org
  • msjonesmsjones
    edited May 2016
    Thanks, I thought that also, but then wasn't sure if there was a
    specific code for admission for medication requiring monitoring.

    Michelle Jones, RN, BSN
    Clinical Documentation Specialist
    Vidant Roanoke Chowan Hospital
    252-209-3012
    msjones@vidanthealth.com
  • jolene.filejolene.file
    edited May 2016
    Hi Michelle!
     
    I would code the Atrial Fib as the principal diagnosis.   I don't know of any C. Clinic or guideline which directs you to do anything different.

    Jolene File,RHIT,CCS,CPC-H,CCDS
    Documentation Improvement Specialist-Coder
    Hays Medical Center
    jolene.file@haysmed.com

    IMPORTANT: This communication contains information from Hays Medical Center which may be confidential and privileged.  If it appears that the communication was addressed or sent to you in error, you may not use or copy this communication or any information contained therein, and you may not disclose this communication or the information contained therein to anyone else.  In such circumstances, please notify me immediately by reply email or by telephone.  Thank you.
  • msjonesmsjones
    edited May 2016
    I appreciate all the help! I thought that was probably right but wasn't sure.

    Michelle Jones, RN, BSN
    Clinical Documentation Specialist
    Vidant Roanoke Chowan Hospital
    252-209-3012
    msjones@vidanthealth.com
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