tci ED Coding & Reimbursement Alert - 2023 Issue Q1

Reader Question: Concurrent Sinus/Flu Infections Call for This Dx

Question: A patient with congestion, thick nasal drainage, facial pain, and a headache presented to the ED, and our physician documented diagnoses of the flu and acute maxillary and frontal sinusitis due to the infection. However, the physician didn’t specify the type of influenza virus. Which ICD-10 codes should I report for this encounter? Maryland Subscriber Answer: You’ll assign code J11.1 (Influenza due to unidentified influenza virus with other respiratory manifestations) to report the patient’s diagnosis. Code J11.1 features an additional synonym of “Influenza NOS,” which allows you to report this code...

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