AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor

Gross Hematuria due to Prostate Malignancy

Coding Clinic for ICD-9-CM, Second Quarter 2010, page 3, provided advice to sequence gross hematuria as the principal diagnosis for a patient, who was currently under treatment for prostate cancer and was admitted for gross hematuria with a significant drop in hemoglobin. The patient had been unable to pass urine and was only passing frank blood and clots. While in the hospital, 12 units of blood were transfused, and bladder irrigation was done. Now that hematuria is a Chapter 18 code in ICD-10-CM does the guideline in Section II.A., regarding codes for symptoms, signs, and ill-defined conditions apply, and change the previously published advice in regards to the principal diagnosis? ...

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