tci ED Coding & Reimbursement Alert - 2022 Issue Q3

You Be the Coder: Alternate Terms and Nonspecific Diagnoses

Question: Encounter notes indicate that the provider treated a patient with “blood-stained sputum.” I cannot find a diagnosis code that lines up with this phrase. Can you help? Michigan Subscriber Answer: The diagnosis code you want for this condition is R04.2 (Hemoptysis). While you won’t find an ICD-10 code that directly tracks to R04.2, “blood-stained sputum” is listed is a synonym for hemoptysis under the R04.2 entry in the ICD-10 code book. The R04 (Hemorrhage from respiratory passages) code set has several different codes (and alternate terms) to represent different respiratory passages...

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