tci ED Coding & Reimbursement Alert - 2023 Issue Q4

You Be The Coder: Decipher Notes to Nail Carditis Dx

Question: Encounter notes indicate that a patient suffers from “rheumatoid carditis w/RA, R shoulder.” I’m at a loss here; can you help me choose a diagnosis code for this shorthand? Illinois Subscriber Answer: This one is tricky, as you’ll need to grapple with alternate terms in ICD-10 as well as wading through the shorthand. The abbreviations your physician uses translates to: rheumatoid carditis with rheumatoid arthritis of the right shoulder. Rheumatoid arthritis often accompanies rheumatoid carditis. Choosing an ICD-10 code is where things get trickier. There is no code descriptor that explicitly states “Rheumatoid...

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