tci ED Coding & Reimbursement Alert - 2018 Issue 9

Reader Question: Keep Sequencing in Mind When Patient Has HIV

Question: The ED physician saw an HIV-positive patient for treatment of numerous chronic mouth ulcers. What’s the rule on coding the condition before or after the HIV diagnosis? Also, should I code the patient as asymptomatic HIV status? Supercoder.com Subscriber Answer: There are two important questions at play here. The first addresses the proper sequencing of the diagnosis codes for mouth ulcers and human immunodeficiency virus- (HIV) positive status. The second relates to addressing whether or not you should consider the mouth ulcers as a related condition to the patients’ HIV-positive status. The ICD-10-CM guidelines state: &ldquo...

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