tci Part B Insider - 2009 Issue 37

Reader Question: Note Two Ways to Code Patient Complaint Resulting From Previous Injury

Prior conditions can contribute to patient's current complaint -- keep track of them by using the appropriate ICD-9 codes. Question: One of our patients presented because he's experiencing neck pain that generated from an area of the spine where he suffered a previous injury. How should I code the diagnosis? Answer: Document and code prior conditions that contribute to a patient's current complaint -- if they affect the management of the current condition. Prior trauma, such as a previously broken bone or other injury, can cause patients to experience back pain. If the patient's pain stems from a previous...

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