tci ED Coding & Reimbursement Alert - 2017 Issue 10

You Be the Coder: Check for the Right Tonsillitis Code

Question: Which diagnosis code should we report for acute tonsillitis? Supercoder.com Subscriber Answer: Fortunately, EDs that see patients with acute tonsillitis should find a relatively simple path to selecting the most accurate diagnosis code. Although you only had one code to consider under ICD-9, you've had to expand your horizons since ICD-10 wants to know the type of the patient's tonsillitis. The fourth character in your tonsillitis code will identify the organism and the fifth will indicate whether the patient's condition is acute or recurrent, as follows: J03.0 – Streptococcal tonsillitis             ...

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