Effective Coding Under MS-DRGs - American Health Information ...
Effective Coding Under MS-DRGs - American Health Information ...
Effective Coding Under MS-DRGs - American Health Information ...
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<strong>Effective</strong> <strong>Coding</strong> <strong>Under</strong> <strong>MS</strong>-<strong>DRGs</strong><br />
Notes/Comments/Questions<br />
Options to Consider in<br />
Chemical Dependency<br />
• Thiamine Deficiency<br />
(CC)<br />
• Most alcoholics get<br />
thiamine 100 mg IM<br />
• Drug induced delirium<br />
(CC)<br />
• Toxic Encephalopathy<br />
(MCC)<br />
• If the patient relapses<br />
and has “altered mental<br />
status”, the drug likely<br />
caused it<br />
• Alcohol or Drug<br />
Withdrawal<br />
• Does not necessarily<br />
have to be an illegal<br />
drugs.<br />
• Many drugs that are<br />
legally prescribed have<br />
withdrawal symptoms if<br />
abruptly discontinued by<br />
the patient or the<br />
physician<br />
65<br />
Bacteremia vs. Septicemia<br />
Sepsis<br />
• Bacteremia (790.7 - a CC):<br />
• Bacteria in the blood without<br />
an inflammatory response.<br />
• Septicemia (038.x - a MCC):<br />
• Pathological organisms (viruses,<br />
bacteria, fungus, or other<br />
organisms) OR their toxins in<br />
the systemic blood.<br />
• SIRS<br />
• Due to infection (sepsis) – MCC<br />
• Due to non-infection –<br />
Pancreatitis, Burns, Trauma<br />
• Without organ dysfunction – CC<br />
• With organ dysfunction – MCC<br />
Systemic Inflammatory<br />
Response Syndrome<br />
(>2 of the following):<br />
• Temperature >38 C<br />
or 90/min<br />
• Respirations >20/min<br />
• White Blood Cells<br />
>12,000 or 10% Bands formed<br />
66<br />
AHIMA 2008 Audio Seminar Series 33<br />
CPT ® Codes Copyright 2007 by AMA. All Rights Reserved
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