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In some cases, a query would be required Based on the dictated operative report, do i need further specificity to code the colostomy It would be appropriate to assign code k25.4, chronic or unspecified gastric ulcer with hemorrhage
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I have had more than 1 doctor express frustration with not being able to code hematochezia as a diagnosis We are being advised to add hematochezia (documented) as a secondary dx when the md documentation states ischemic colitis with a lower gi bleed. it was my understanding this was a common s&s of ischemic colitis and would not be additionally coded. They say that the option of melena is not accurate and are forced to have to explain the difference in their notes
I have looked online and in the coding guidelines and can't find an explanation for why this diagnosis was removed.
Anemia blood loss acute or in the encoder Bleeding gi ulcer acute blood loss anemia We have the worst time getting providers to state "blood loss" With their documented "acute on chronic anemia"
I have been in the cdi role for about 2 yrs at my facility Coders are on sight but different building Trying to trend down number of mismatch reports thru chartwise Pt receives 3 u prbc's
And for postoperative blood loss anemia, you don't even need the word acute to code d62, abla
A normochromic, normocytic patient that has a documented (significant) loss of blood with a measurable decline in hg associated with a loss of blood that satisfies any one of the uhdds criteria may be a ‘classic’ case of anemia due to acute blood loss Review chart for pmh or current history of any other forms of anemia.consider referencing cbc profiles so that clinician may evaluate.
