tci Outpatient Facility Coding Alert - 2015 Issue 12

Reader Question: Bleed Site Helps Determine Epistaxis Code

Question: How do we bill for nose bleed, which generally occurs due to acute hemorrhage from the nostril, nasal cavity, or nasopharynx? Missouri Subscriber Answer: When there is an acute hemorrhage from the nostril, nasal cavity, or nasopharynx, we call it nose bleed or epistaxis. When you coded following ICD-9, you would report 784.7 (Epistaxis) for nosebleed. You would also use the same code to report hemorrhage from the nose or bleeding from the nose. ICD 10: Now that you use ICD-10, you still have only a single code for an epistaxis diagnosis: R04.0. Documentation: If the...

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