lyme carditis

If a pt has documented lyme's with lyme carditis, do you code lyme myocarditis (mcc) or query the physician for clarification? I'm getting conflicting info so thought I'd put it out to the group: )
Thanks,
Kerry

Kerry Seekircher, RN, BS, CCDS, CDIP
Clinical Documentation Specialist Supervisor
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013

Comments

  • I would query. Without further specificity, you don't know if it's myocarditis, endocarditis, or pericarditis, and Lyme has been associated with all three. Carditis not further specified only codes out to ill-defined heart disease.

    Renee

    Linda Renee Brown, RN, MA, CCDS, CCS, CDIP
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