Question

tilpalities between supporting documentation and coded data as the coding manager at a fac department with potential account and ensure the dit that has not been clea this outpatient account were: er at a facility in Ohio, you receive accounts from the billing otential coding issues prior to billing. It is your job to investigate the are the proper codes have been assigned. Today, there is a medical necessity been cleared concerning Epoetin administration. The codes assigned to 710 N18.6 D64.9 (E10.9 182.868A the following information from this chart and determine what the coding 1. Read the following informat error(s) is or are. ntify if you will be able to clear the medical necessity edit based on the documentation. Patient Name: Joe Smith MR#3654777 Acct. # 0000325414 DOS: 10/28/15 Discharge date: 10/29/15 Mr Smith arrives today with thrombosis of his AV graft. He was unable to receive his dialusis treatment today and will undergo a thrombectomy procedure to restore graft function. He is a 54 year-old with hypertension and diabetes taken to the OR and prepped and draped in the usual sterile fashion. An incision was made permitting access to the graft. A graftotomy was done and Fogarty catheter inserted to pull back the thrombosis. After successful removal of the thrombosis, an injection was performed of the anastomotic area to ensure that the graft was functional. Incision into the graft was then closed, as was the access incision. Patient was taken to the recovery room in stable condition. He will be observed overnight, and receive his dialysis tomorrow prior to discharge. He is also to receive an injection of Epoetin for his anemia. References enters for Medicare and Medicaid Services, 2016. Local Coverage Determinations by

Answer 1

From following in formation given in question some codes are need corrections and some need adition.   

• Code 110 - Atheroclerotiv heart diseas
• N.18.6 - end stage renal disease
• D 64.9. - Reimbursement purpose (for those who spent lots of money)
• E 10.9 - type1 Diabetes mellitus with out complication
• T 82.868A -grftotomy these are the actually given codes for following data in your question.. Code 110 was not applicable we can cancel this from billing.
• Three more codes we can add those are 1.D63.1 for epoetin injection ,2.Z99.2 for renal dialysis. 3.037 j3zz is for thrombectomy.