tci ED Coding & Reimbursement Alert - 2020 Issue Q1

You Be the Coder: Check Notes for Osteomyelitis Dx

uestion: Our ED physician saw a patient who presented with right shoulder pain, and he diagnosed her with acute osteomyelitis. Which is the correct ICD-10 code for this condition? Arizona Subscriber Answer: Your primary diagnosis will be one of two codes, but before you decide for sure, you’ll need to go back and check the encounter notes, and then choose one of these diagnosis codes: M86.011 (Acute hematogenous osteomyelitis, right shoulder) M86.111 (Other acute osteomyelitis, right shoulder) Secondary Dx alert: In the section devoted to osteomyelitis, ICD-10 instructs coders to use an additional code to identify...

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