Question
I have a patient who was admitted after a fall. The physician documented "hematoma of left hip". The patient had a drop in hemoglobin to 5.5 requiring transfusions. Her stools were negative for occult blood. Physician writes "Normocytic anemia". I am querying for anemia specificity. I am having difficulty coding the hematoma. When I spoke with the nurse, the hematoma is massive, and the physician actually feels that the hematoma was the cause of the drop in hemoglobin.
Any thoughts?
Thanks,
Syndi
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
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"We are His hands". Isaiah 64:8
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Any thoughts?
Thanks,
Syndi
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[CCDS_pin_1inch]
"We are His hands". Isaiah 64:8
CONFIDENTIALITY NOTICE: Confidential information, such as identifiable patient health information or business information, is subject to protection under state and federal law. If you are not the intended recipient of this message, you may not disclose, print, copy or disseminate this information. If you have received this in error, please reply and notify the sender (only) and delete the message. Unauthorized interception of this e-mail is a violation of federal criminal law.