AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; Ask the Editor
Pediatric Autoimmune Neuropsychiatric Disease Associated with Streptococcal Infection
A 10-year-old girl was admitted for intravenous immunoglobulin infusion. The patient has pediatric autoimmune neuropsychiatric disease associated with streptococcal infection (PANDAS), attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), tics, and anxiety. There is no documentation of a current streptococcal infection. Her mother reported that for the past 1-2 weeks, the patient seemed more anxious, her OCD and tic behavior (whistling) seemed to be returning, and she has more “tantrums.” What is the appropriate code for PANDAS? ...
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Article Overview
This short coding article focuses on a pediatric case involving pediatric autoimmune neuropsychiatric disease associated with streptococcal infection, along with related behavioral and neurologic symptoms in the setting of intravenous immunoglobulin infusion. It is intended for medical coders and clinicians who need guidance on how this diagnosis is discussed in relation to ICD-10-CM classification and sequelae of prior infection. The content is limited to a case-based coding discussion and a direct coding recommendation.
Why This Topic Matters
PANDAS can present documentation and classification questions, especially when a current streptococcal infection is not recorded. Accurate diagnosis coding affects problem list accuracy, reporting, and claim submission.
What You Will Learn
- How this PANDAS case is framed for diagnosis coding
- How the article relates the condition to ICD-10-CM classification
- How documentation of current versus prior infection affects the coding discussion
- What broad coding approach is recommended in the article
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Pediatric providers
- Revenue cycle staff
Codes Discussed
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