FW: FW: Central Fever
See below
-----Original Message-----
From: Reynolds, Denise
Sent: Wednesday, August 11, 2010 1:09 PM
To: Barnes, Charlene
Subject: RE: [cdi_talk] FW: Central Fever
Using 3M, I used keyword "Fever" and then for "Spell other" I used the word "brain" and the ICD-9 code was 3239, but our coder was reluctant to use it as it is the same code for encephalitis.
-----Original Message-----
From: Barnes, Charlene
Sent: Wednesday, August 11, 2010 12:58 PM
To: Reynolds, Denise
Subject: FW: [cdi_talk] FW: Central Fever
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, August 11, 2010 12:17 PM
To: Barnes, Charlene
Subject: RE:[cdi_talk] FW: Central Fever
Robert,
Your response raises a question for me. As a clinician, I wouldn't think of hypothalamus and cerebral as the same process, because clearly the hypothalamus is not located in the cerebrum. Except for where it's specified further, is "cerebral" coder-speak for brain, regardless of actual part of the brain?
Renee
Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center
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-----Original Message-----
From: Reynolds, Denise
Sent: Wednesday, August 11, 2010 1:09 PM
To: Barnes, Charlene
Subject: RE: [cdi_talk] FW: Central Fever
Using 3M, I used keyword "Fever" and then for "Spell other" I used the word "brain" and the ICD-9 code was 3239, but our coder was reluctant to use it as it is the same code for encephalitis.
-----Original Message-----
From: Barnes, Charlene
Sent: Wednesday, August 11, 2010 12:58 PM
To: Reynolds, Denise
Subject: FW: [cdi_talk] FW: Central Fever
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, August 11, 2010 12:17 PM
To: Barnes, Charlene
Subject: RE:[cdi_talk] FW: Central Fever
Robert,
Your response raises a question for me. As a clinician, I wouldn't think of hypothalamus and cerebral as the same process, because clearly the hypothalamus is not located in the cerebrum. Except for where it's specified further, is "cerebral" coder-speak for brain, regardless of actual part of the brain?
Renee
Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center
---
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Comments
-----Original Message-----
From: Reynolds, Denise
Sent: Wednesday, August 11, 2010 2:20 PM
To: Barnes, Charlene
Subject: RE: [cdi_talk] FW: Central Fever
Great thought.
-----Original Message-----
From: Barnes, Charlene
Sent: Wednesday, August 11, 2010 2:18 PM
To: Reynolds, Denise
Subject: FW: [cdi_talk] FW: Central Fever
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, August 11, 2010 1:07 PM
To: Barnes, Charlene
Subject: RE: [cdi_talk] FW: Central Fever
I just had another thought. Does the patient meet the criteria for SIRS? That requires 2 of 4 symptoms (temperature being one) and doesn't require a source of infection.
Robert
Robert S. Hodges, BSN, MSN, RN
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
"The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens
"This email is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this email does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this email in error, please notify this office immediately at the telephone number listed above."
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, August 11, 2010 12:31 PM
To: Hodges, Robert
Subject: RE: [cdi_talk] FW: Central Fever
Renee,
Good questions and I don't think I have a good answer.
-323.9 states (in my trusty ICD-9 manual) "Unspecified cause of encephalitis, myelitis, and encephalomyelitis."
-326 states "Late effects of intracranial abscess or pyogenic infection. Note: This category is to be used to indicate conditions whose primary classification is to 320-325 [excluding 320.7321.0,-321.8, 323.01-323.42, 323.6-323.7] as the cause of late effects, themselves classifiable elsewhere. The "late effects" include conditions specified as such, or as sequela, which may occur at any time after the resolution of the causal condition. Use additional code to identify condition, as: Hydrocephalus (331.4) Paralysis (342.0-342.9, 344.0-344.9)"
This may not be much help. Again, I have to defer to the expertise of the coders here.
Robert
Robert S. Hodges, BSN, MSN, RN
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
"The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens
"This email is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this email does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this email in error, please notify this office immediately at the telephone number listed above."
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, August 11, 2010 12:17 PM
To: Hodges, Robert
Subject: RE:[cdi_talk] FW: Central Fever
Robert,
Your response raises a question for me. As a clinician, I wouldn't think of hypothalamus and cerebral as the same process, because clearly the hypothalamus is not located in the cerebrum. Except for where it's specified further, is "cerebral" coder-speak for brain, regardless of actual part of the brain?
Renee
Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center
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CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
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