tci ED Coding & Reimbursement Alert - 2018 Issue 5

Reader Question: Pinpoint the Myositis Code

Question: Our physician documented that a patient was suffering from pain, swelling, tenderness, and weakness in the hands. The doctor provided the diagnosis of myositis, but when I went to the ICD-10 index, I found M60.14, M60.04, and M60.84. Which one should I code, and why? Supercoder.com Subscriber Answer: Unless your doctor's note indicates that the cause of the myositis is bacterial in nature, you can immediately rule out M60.04- (Infective myositis, hand and fingers) in this situation. Of the other two codes, M60.14- (Interstitial myositis, hand) is the more specific diagnosis of...

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