tci ED Coding & Reimbursement Alert - 2019 Issue Q3

Reader Question: Pinpoint the Dx Code for Perianal Strep

Question: We recently saw a toddler in the ED who presented with a severe case of diaper rash. We ordered a strep test, which came back positive, so the provider diagnosed the patient with perianal strep infection. The ED physician chose A49.1 in the patient’s electronic medical record, but I don’t think that’s the correct code as the specific site of the infection, the patient’s anal area, is known. So, my question is this: What is the correct way to code this? Oregon Subscriber Answer: Since you know the site of the strep, A49...

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