tci ED Coding & Reimbursement Alert - 2023 Issue Q3

Reader Questions: Use This Dx for Wallenberg Syndrome

Question: Encounter notes indicate that the ED physician treated a patient suffering from Wallenberg syndrome. I can’t find a diagnosis code anywhere for this condition. Could you provide a diagnosis code for this patient’s syndrome? Nebraska Subscriber Answer: This is an instance of the provider listing a synonym for the primary descriptor in a diagnosis code. No worries, though, as we can run down the correct code pretty easily. On the claim, report G46.3 (Brain stem stroke syndrome) to indicate the patient’s Wallenberg syndrome. The payer will connect the dots between the code and the...

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