tci Outpatient Facility Coding Alert - 2019 Issue 1

Reader Question: Know How to Sequence Complication, Condition Codes Properly

Question: How should I code a diagnosis of chronic nasal bleeding following sinus surgery? Florida Subscriber Answer: As long as the provider clearly documents the epistaxis as a complication of the surgical procedure, you might not consider reporting code R04.0 (Epistaxis) as the primary diagnosis. Since this is a postsurgical complication, your primary ICD-10-CM code should describe as much. In this example, you will use the ICD-10-CM index to find Complication ⇒ postprocedural ⇒ hemorrhage (of) ⇒ respiratory system which leads you to code J95.830 (Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory...

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