liver failure and hepatitis
I'm looking for coding guidance regarding liver failure and hepatitis.
If a patient is admitted with alcoholic hepatitis and acute liver failure-- how should this be sequenced? When I code the liver failure failure as Pdx, the DRG reads Disorders of liver EXCEPT malignancy, cirrhosis, alcoholic hepatitis.
The patient appeared to have both (alcoholic hepatitis and acute liver failure) according to the record. The patient also has a PMH of cirrhosis (but not stated due to alcohol), ?HBV, and Chronic hep C.
Patients t bili, AST, ALT were all extremely elevated.
If I code the alcoholic hepatitis as the principle,DRG432, that gives me an MCC for the acute liver failure. Documentation states the cause of the liver failure is unknown but could be due to ART therapy vs Hep B reactivation.
Any advice? Thanks!!!
If a patient is admitted with alcoholic hepatitis and acute liver failure-- how should this be sequenced? When I code the liver failure failure as Pdx, the DRG reads Disorders of liver EXCEPT malignancy, cirrhosis, alcoholic hepatitis.
The patient appeared to have both (alcoholic hepatitis and acute liver failure) according to the record. The patient also has a PMH of cirrhosis (but not stated due to alcohol), ?HBV, and Chronic hep C.
Patients t bili, AST, ALT were all extremely elevated.
If I code the alcoholic hepatitis as the principle,DRG432, that gives me an MCC for the acute liver failure. Documentation states the cause of the liver failure is unknown but could be due to ART therapy vs Hep B reactivation.
Any advice? Thanks!!!
Comments
Did you come up with anything Melanie? I would love some guidance on this as well.
Thanks.