BC Advantage - 2015 Issue 10

ICD-10: Understanding initial, subsequent and sequelae

Now that ICD-10-CM is finally here, you will need to familiarize yourself with new concepts such as initial, subsequent, and sequelae classifications for diagnosis codes. Most coders and auditors are familiar with the concepts of initial and subsequent from using E/M codes to describe hospital visits. The initial visit typically describes the first visit by the admitting physician (or the consultant when the payer doesn't recognize consultation codes).As providers follow the patients during a hospital stay, those services are billed with subsequent encounter codes. When the patient is discharged, then admitted again to the hospital at a later...

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