opinions on sequencing

katysuegood@gmail.comkatysuegood@gmail.com
in Clinical & Coding
I am reviewing a mortality currently. Transfer from another facility where he underwent a small bowel resection and had a PEA arrest post-op. Arrived intubated and sedated with evidence of anoxic brain injury. Neuro consulted and followed the patient throughout their 6-day stay and eventually care was withdrawn when he failed to wake d/t anoxic injury. Management of the resp failure was uncomplicated with documentation that only obstacle to extubation was failure to wake/encephalopathy.

Do you sequence the anoxic injury or the ARF as Pdx? Very significant reimbursement variance between DRG 91 and DRG 207

Thanks!

Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404

Comments

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    This was my 'gut' response. The coder has the anoxic brain injury as PDX. I wanted to make sure I wasn’t reaching ;-)

    Thanks!

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404



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