Malignant pleural effusion
Hi all,
I just had a discussion with a coder where she referenced a recent case where billing came back to her for re-sequencing of a malignant pleural effusion because they said Medicare would not accept it as Pdx. Upon further review, under J91.0 there is a 'first code underlying neoplasm note'. This seems to go against our usual practice (per guidelines) of coding the complication of the neoplasm as Pdx with the neoplasm as Sdx. Anyone else seen this issue? Are you coding the pleural effusion or neoplasm as Pdx?
Thanks!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
I just had a discussion with a coder where she referenced a recent case where billing came back to her for re-sequencing of a malignant pleural effusion because they said Medicare would not accept it as Pdx. Upon further review, under J91.0 there is a 'first code underlying neoplasm note'. This seems to go against our usual practice (per guidelines) of coding the complication of the neoplasm as Pdx with the neoplasm as Sdx. Anyone else seen this issue? Are you coding the pleural effusion or neoplasm as Pdx?
Thanks!
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
Comments
Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org