AHA Coding Clinic® for ICD-9 - 2006 Issue 3; Ask the Editor

Rehabilitation Hospital Coding

The Central Office on ICD-9-CM has continued to receive questions regarding the coding and sequencing of diagnoses in inpatient rehabilitation facilities (IRF). These facilities are required to complete a data collection instrument called Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI), as well as a claim form. The IRF-PAI requires the assignment of ICD-9-CM diagnosis codes for the etiologic diagnosis to indicate the condition for which the patient is receiving rehabilitation, as well as other comorbid conditions. As stated in Coding Clinic, First Quarter 2002, pages 18-19, a different set of instructions/rules apply to the IRF-PAI. Hospitals should be guided by...

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