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Resolved Inpatient coding scenario question

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DematriusW_69730

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This is a scenario for inpatient coding for me to learn from. Let’s say hypothetically speaking,We have a DX of SAH,unspecified -I60.9 listed in the D/C summary. However, there is evidence of a more specific SAH code being coded (For instance , I60.4) based off information in the Emergency Departments entry (HPI portion specifically) . Based on this could you upgrade the code to a higher specificity in the real world ?
 
DematriusW_69730 said:
This is a scenario for inpatient coding for me to learn from. Let’s say hypothetically speaking,We have a DX of SAH,unspecified -I60.9 listed in the D/C summary. However, there is evidence of a more specific SAH code being coded (For instance , I60.4) based off information in the Emergency Departments entry (HPI portion specifically) . Based on this could you upgrade the code to a higher specificity in the real world ?
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no
 
This ends up being a "real" issue more then you think. No you can't change it. However, it would need to be brought to the attention of the "powers that be" Compliance or Coding Department Leads. Education would need to occur. The true dx would get picked up when the pt is seen by the provider hopefully. Our role ends up being auditors and educators more then regular coders now.
 
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