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AHA Coding Clinic® for ICD-9 - 2004 Issue 2

Correction Notice

Coding Clinic Third Quarter 2003, page 12, advised to assign code 995.89, Other specified adverse effects, not elsewhere classified, Other, for a patient that experienced urinary retention secondary to spinal anesthesia. This advice conflicts with the Official Guidelines for Coding and Reporting Adverse Effects, which states “When the drug was correctly prescribed and properly administered, code the reaction plus the appropriate code from the E930-E949 series. Codes from the E930-E949 series must be used to identify the causative substance for an adverse effect of drug, medicinal and biological substances, correctly prescribed and properly administered. The effect, such as tachycardia, delirium, gastrointestinal hemorrhaging, vomiting, hypokalemia, hepatitis, renal failure, or respiratory failure, is coded and followed by the appropriate code from the E930-E949 series.” Based on these guidelines codes 788.20, Retention of urine, unspecified, and E938.7, Spinal anesthetics, should have been assigned instead of 995.89, Other specified adverse effects, not elsewhere classified, Other. We are requesting reconsideration of the coding advice published in Third Quarter 2003. ...

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