MaryW_64032
Member
pt comes in with r wrist pain due to fracture diagnosed two days ago And is here for pain control . PT is having surgery for his fracture in two days And almost out of his medicine.
final wrist fracture
pain meds were given in ED
The pain Is not listEd As a acute, chronic etc so this means I can’t code a G89 code first and at all.
the Guideline also says if pt is here for pain control use G code ?
I am not understanding the guideline.
i believe my final I code to wrist fracture with a D as the pain is being treated and Not the fracture ?
official guideline
If the pain is not specified as acute or chronic, post- thoracotomy, postprocedural, or neoplasm-related, do not assign codes from category G89.
A code from category G89 should not be assigned if the underlying (definitive) diagnosis is known, unless the reason for the encounter is pain control/ management and not management of the underlying condition.
When an admission or encounter is for a procedure aimed at treating the underlying condition (e.g., spinal fusion, kyphoplasty), a code for the underlying condition (e.g., vertebral fracture, spinal stenosis) should be assigned as the principal diagnosis. No code from category G89 should be assigned.
(a) Category G89 Codes as Principal or First-Listed Diagnosis
Category G89 codes are acceptable as principal diagnosis or the first-listed code:
• When pain control or pain management is the reason
for the admission/encounter (e.g., a patient with displaced intervertebral disc, nerve impingement and severe back pain presents for injection of steroid into the spinal canal). The underlying cause of the pain should be reported as an additional diagnosis, if known.
• When a patient is admitted for the insertion of aD
If the pain is not specified as acute or chronic, post- thoracotomy, postprocedural, or neoplasm-related, do not assign codes from category G89.
A code from category G89 should not be assigned if the underlying (definitive) diagnosis is known, unless the reason for the encounter is pain control/ management and not management of the underlying condition.
When an admission or encounter is for a procedure aimed at treating the underlying condition (e.g., spinal fusion, kyphoplasty), a code for the underlying condition (e.g., vertebral fracture, spinal stenosis) should be assigned as the principal diagnosis. No code from category G89 should be assigned.
(a) Category G89 Codes as Principal or First-Listed Diagnosis
Category G89 codes are acceptable as principal diagnosis or the first-listed code:
• When pain control or pain management is the reason
for the admission/encounter (e.g., a patient with displaced intervertebral disc, nerve impingement and severe back pain presents for injection of steroid into the spinal canal). The underlying cause of the pain should be reported as an additional diagnosis, if known.
final wrist fracture
pain meds were given in ED
The pain Is not listEd As a acute, chronic etc so this means I can’t code a G89 code first and at all.
the Guideline also says if pt is here for pain control use G code ?
I am not understanding the guideline.
i believe my final I code to wrist fracture with a D as the pain is being treated and Not the fracture ?
official guideline
If the pain is not specified as acute or chronic, post- thoracotomy, postprocedural, or neoplasm-related, do not assign codes from category G89.
A code from category G89 should not be assigned if the underlying (definitive) diagnosis is known, unless the reason for the encounter is pain control/ management and not management of the underlying condition.
When an admission or encounter is for a procedure aimed at treating the underlying condition (e.g., spinal fusion, kyphoplasty), a code for the underlying condition (e.g., vertebral fracture, spinal stenosis) should be assigned as the principal diagnosis. No code from category G89 should be assigned.
(a) Category G89 Codes as Principal or First-Listed Diagnosis
Category G89 codes are acceptable as principal diagnosis or the first-listed code:
• When pain control or pain management is the reason
for the admission/encounter (e.g., a patient with displaced intervertebral disc, nerve impingement and severe back pain presents for injection of steroid into the spinal canal). The underlying cause of the pain should be reported as an additional diagnosis, if known.
• When a patient is admitted for the insertion of aD
If the pain is not specified as acute or chronic, post- thoracotomy, postprocedural, or neoplasm-related, do not assign codes from category G89.
A code from category G89 should not be assigned if the underlying (definitive) diagnosis is known, unless the reason for the encounter is pain control/ management and not management of the underlying condition.
When an admission or encounter is for a procedure aimed at treating the underlying condition (e.g., spinal fusion, kyphoplasty), a code for the underlying condition (e.g., vertebral fracture, spinal stenosis) should be assigned as the principal diagnosis. No code from category G89 should be assigned.
(a) Category G89 Codes as Principal or First-Listed Diagnosis
Category G89 codes are acceptable as principal diagnosis or the first-listed code:
• When pain control or pain management is the reason
for the admission/encounter (e.g., a patient with displaced intervertebral disc, nerve impingement and severe back pain presents for injection of steroid into the spinal canal). The underlying cause of the pain should be reported as an additional diagnosis, if known.
