tci ED Coding & Reimbursement Alert - 2022 Issue Q3

You Be the Coder: Scour Notes for Every Osteomyelitis Dx Detail

Question: Encounter notes indicate that the ED physician diagnosed acute hematogenous osteomyelitis in the patient’s hand. How should I report this diagnosis? AAPC Forum Subscriber Answer: The best ICD-10 code isn’t clear with the information provided. Do this: Go back and check the notes for indications of laterality on the osteomyelitis. Then, choose one of the following diagnosis codes to include on your claim: M86.041 (Acute hematogenous osteomyelitis, right hand) M86.042 (Acute hematogenous osteomyelitis, left hand) M86.049 (Acute hematogenous osteomyelitis, unspecified hand).   ...

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