acute blood loss

mstanleymstanley
in CDI Talk Archive
When "acute anemia due to gi blood loss" is documented, does the acute apply to the blood loss or just to the anemia? Do I have to query :( I don't want to query. What do you think? Thanks Martha

Comments

  • ddouthitddouthit
    edited May 2016
    I would be o.k. coding ABLA.

    Dorie Douthit, RHIT,CCS
    CDI Program/HIM
  • Unknown
    edited May 2016
    I would say just the anemia. I would query for clarification.
    Jamie Dugan RN
    Baptist Health System
    Jacksonville, Florida
    904-202-4345 office
  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    I would take that as sufficient. That doesn’t mean the coders would though....

    Interested in hearing others opinions on this.

    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
  • Unknown
    edited May 2016
    If you run it through the encoder:
    GI hemorrhage
    Unspecified, with blood loss anemia --> acute --> 285.1


    Charlene
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    The term 'acute' would be applied only to the anemia in the scenario you offered.


    Paul Evans, RHIA, CCS, CCS-P, CCDS

    Supervisor, Clinical Documentation Integrity, Quality Department
    California Pacific Medical Center
    2351 Clay #243
    San Francisco, CA 94115
    Cell: 415.637.9002
    Fax: 415.600.1325
    Ofc: 415.600.3739
    evanspx@sutterhealth.org
  • janrumdavisjanrumdavis
    When we received training by consulting group in 2008, we were told to code as ABLA if documented any of these ways: anemia d/t acute gi bleed, acute gi bleed with anemia, or acute anemia d/t gi bleed.


    Janice Davis, RN, CCDS
    jdavis@hprhs.com
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