What is the sequence order when coding a sequela late effect?
➢ Coding of sequela generally requires two codes sequenced in the following order: ✓ The condition or nature of the sequela is sequenced first. ✓ The sequela code is sequenced second. ➢ There are additional guidelines for reporting sequelae of injuries.
When coding late effects the 7th character used is?
7th character “S” is the Sequela care and is used for complications or conditions that arise as a direct result of a condition, such as scar formation after a burn.
When do you code sequela?
A sequela code is for complications or conditions that arise as a direct result of a condition or injury. Examples include joint contracture after a tendon injury, hemiplegia after a stroke or scar formation following a burn. The sequela code should be primary and followed by the injury/condition code.
What is a late effect in coding?
Late effects are residual effects after the acute phase of an illness or injury has terminated.
When coding for late effects what condition is listed first?
When reporting sequela(e), you usually will need to report two codes. The first describes the condition or nature of the sequela(e) and the second describes the sequela(e) or “late effect.” For example, you may report M81.
What are late effect codes?
In ICD-9-CM, codes identifying residual effects following treatment for the acute phase of an illness or injury are designated as late effect codes. In ICD-10-CM, the term “late effect” has been replaced with sequela.
When do you use 7th character s?
The seventh character S, sequela, is for used for complications or conditions that arise as a direct result of a condition, such as scar formation following a burn (the scars are sequela of the burn).
What are coding guidelines used for?
These associations put out all the medical coding guidelines to help regulate the ways medical providers care for their patients, as well as how medical facilities code patient visits. They also provide suggestions to insurance companies as to which codes they should pay for and why.
What ICD 10 guidelines?
The ICD-10-CM is a morbidity classification published by the United States for classifying diagnoses and reason for visits in all health care settings. The ICD-10-CM is based on the ICD-10, the statistical classification of disease published by the World Health Organization (WHO).
What is late effect CVA?
Coding guidelines state that the late effects (sequelae) caused by a stroke may be present from the onset of a stroke or arise at ANY time after the onset of the stroke. If a patient is NOT EXPERIENCING A CURRENT CEREBROVASCULAR ACCIDENT (CVA) and has no residual or late effect from a previous CVA, Z86.
What is the meaning of the term late effect in ICD-10-CM?
A late effect is the residual effect (condition produced) after the acute phase of an illness or injury has terminated. Impending or Threatened Condition. Code any condition described at the time of discharge a s “impending” or “threatened” as follows: If it did occur, code as confirmed diagnosis.
Is there a code for the late effect?
The code for the acute phase of the illness or injury that led to the sequela is never reported with a code for the late effect. Coding of sequela generally requires two codes sequenced in the following order: The condition or nature of the sequela is sequenced first. The sequela code is sequenced second.
What is an example of a sequela coding tip?
for the sequela. The specific type of sequela (e.g. scar) is sequenced first, followed by the injury code. Example: L90.5 Scar conditions and fibrosis of skin T22.322S Burn of third degree of left elbow, sequela Coding Clinic is the official resource and authority for ICD-10 coding rules and conventions.
What is the dysphagia and late effect sequela?
The actual dysphagia is R13.12, and the late effect sequela is I69.391, but that is told by the instructional notations in the tabular to sequence first. That was a little trickier. Any questions on that one?