tci Outpatient Facility Coding Alert - 2018 Issue 4

Reader Question: Refer to ICD-10-CM Guidelines for S&S Coding

Question: We have a patient with diagnoses of chronic frontal sinusitis with ocular and bilateral ear pain. Additionally, the patient presents with a fever and mild fatigue. Should I code any of these signs and symptoms since we have a principal diagnosis of chronic frontal sinusitis? Minnesota Subscriber Answer: This is a tricky question that requires a strong understanding of ICD-10-CM guidelines to answer correctly. Some coders may incorrectly assume that the principal diagnosis is the only valid diagnosis here since the additional presenting diagnoses are typical for a patient with frontal sinusitis. However, the correct answer to this...

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