tci ED Coding & Reimbursement Alert - 2021 Issue Q3

Reader Questions: Decide Whether Diarrhea Is a Colitis Symptom

Question: The indication of my provider’s report details the patient having both diarrhea and colitis. Do I assign codes to both conditions, or is only one code used in this case? And if I do code the diarrhea, do I use R19.7 or K59.1? New Jersey Subscriber Answer: First, you can determine the difference between the two diarrhea codes — R19.7 (Diarrhea, unspecified) and K59.1 (Functional diarrhea) — by looking at the code groups they are assigned under. Code K59.1 describes an intestinal condition characterized by its frequent recurrence, whereas R19.7 describes...

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