I need help with these last 3 questions.
1. Your asked to code the condition diabetes mellitus. Explain the basic coding steps in locating the proper ICD-9-CM code for this condition.
2. The patient had metastatic carcionma from the prostate to the pelvic bone. What are the steps to coding a neoplasm?
3. The primary diagnosis is probable hypertension, how does the code for probable hypertension differ between outpaitnet and inpatient settings?
1. To locate the proper ICD-9-CM code for the condition diabetes mellitus, you can follow these basic coding steps:
Step 1: Identify the main term - In this case, the main term is "diabetes mellitus."
Step 2: Look up the main term in the ICD-9-CM index - The ICD-9-CM index is a alphabetical list of terms and their corresponding codes. Locate the term "diabetes mellitus" in the index.
Step 3: Verify the code in the Tabular List - Once you locate the term in the index, you will find one or multiple codes associated with it. Make note of the codes and cross-reference them in the Tabular List to ensure accuracy.
Step 4: Determine the appropriate code - Based on the specific type or manifestation of diabetes mellitus, select the appropriate code from the Tabular List. Consider any accompanying documentation or guidelines provided in the ICD-9-CM manual for additional guidance.
2. To code a neoplasm like metastatic carcinoma from the prostate to the pelvic bone, follow these steps:
Step 1: Identify the neoplasm - In this case, the neoplasm is "metastatic carcinoma from the prostate to the pelvic bone."
Step 2: Determine the primary site of the neoplasm - Identify the primary site of the cancer, which is the prostate in this case.
Step 3: Look up the primary site in the ICD-9-CM index - Find the term "prostate" in the index to locate the corresponding code(s).
Step 4: Determine the secondary site (metastasis) - Identify the secondary site of the cancer, which is the pelvic bone in this case.
Step 5: Look up the secondary site in the ICD-9-CM index - Find the term "bone" or "pelvic bone" in the index to locate the corresponding code(s).
Step 6: Combine the codes - Once you have identified the codes for the primary site (prostate) and the secondary site (pelvic bone), combine them to create a complete code for the neoplasm.
3. The code for "probable hypertension" may differ between outpatient and inpatient settings due to the coding guidelines and rules specified for each setting. Here's how it may differ:
In the outpatient setting: For "probable hypertension" as the primary diagnosis, a code from the category "R69 - Ill-defined and unknown causes of morbidity and mortality" may be used. In this case, the specific code would depend on the available documentation and the provider's assessment of the condition.
In the inpatient setting: Inpatient coding typically requires a higher level of specificity. A "probable" diagnosis may not be acceptable for inpatient coding purposes. In this scenario, the coder would need to assign a more definitive diagnosis code for hypertension based on the available documentation, such as "essential hypertension" (ICD-9-CM code 401). It is important to adhere to the coding conventions and guidelines specific to the inpatient setting to ensure accurate coding.