tci ED Coding & Reimbursement Alert - 2024 Issue Q1

Reader Questions: These 2 Effusions Get 1 ICD-10 Code

Question: If a patient suffers from effusion of the same ankle and foot, should I submit two ICD-10 codes? Or is there a combination code for this diagnosis? Louisiana Subscriber Answer: You should report two codes, but it can be a bit confusing due to the parent code’s descriptor. The parent code for both conditions is M25.47- (Effusion, ankle and foot). From there, the parent code splits into these options: M25.471 (Effusion, right ankle) M25.472 (Effusion, left ankle) M25.473 (Effusion, unspecified ankle) M25.474 (Effusion, right foot) M25.475 (Effusion, left foot) M25.476...

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