tci ED Coding & Reimbursement Alert - 2018 Issue 3

Reader Question: Use ICD-10's Supplementary Words to Your Advantage

Question: Our ED physician diagnosed a patient with a traumatic central perforation of the right eardrum, but we're having trouble locating the best ICD-10 code. Can you advise? Supercoder.com Subscriber Answer: Coding this diagnosis can be tricky due to the traumatic specifier. Your first step is to look up Perforation in the ICD-10 index; however, it's at this initial point where coders may find their first hang-up. Next to Perforation, perforated, you will find the two supplementary words (nontraumatic) (of). Refresher:  According to ICD-10 guidelines, "Parentheses are used in both the Alphabetic Index and Tabular List to...

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