AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Coding Chronic Conditions for Outpatient Encounters

A patient presents as an outpatient for hernia repair surgery. The provider notes “Crohn’s disease,” in the past medical history and indicates the patient is taking an immune modulating drug for the condition. Per the Official Guidelines for Coding and Reporting, section IV.I: Chronic diseases treated on an ongoing basis may be coded and reported as many times as the patient receives treatment and care for the condition(s). Additionally, section IV.J states: Code all documented conditions that coexist at the time of the encounter/visit, and require or affect patient care treatment or management. Although the patient did not receive treatment during the current encounter, is it appropriate to report the Crohn’s disease as an additional diagnosis? ...

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