Pain medication adjustment for chronic pain from bone metastasis G893 Neoplasm

Pain medication adjustment for chronic pain from bone

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Pain medication adjustment for chronic pain from bone metastasis G89.3 Neoplasm related pain (acute)(chronic) C79.51 Secondary malignant neoplasm of bone Explanation : Since the encounter was for pain medication management, the pain, rather than the neoplasm, was the reason for the encounter and is sequenced first. This “neoplasm-related pain” code includes both acute and chronic pain. Patient with lung cancer presents with acute hip pain and is evaluated and found to have iliac bone metastasis C79.51 Secondary malignant neoplasm of bone C34.90 Malignant neoplasm of unspecified part of unspecified bronchus or lung G89.3 Neoplasm related pain (acute)(chronic) Explanation : The reason for the encounter was the evaluation and diagnosis of the bone metastasis, whose code would be assigned as first-listed, followed by codes for the primary neoplasm and the pain due to the iliac bone metastasis.
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Chapter 7. Diseases of the Eye and Adnexa ICD-10-CM 2017 Chapter 7. Diseases of the Eye and Adnexa Guidelines and Examples ICD-10-CM 2017 445 Chapter 7. Diseases of the Eye and Adnexa (H00–H59) Chapter Specific Guidelines with Coding Examples The chapter specific guidelines from the ICD-1 0 -CM Official Guidelines for Coding and Reporting have been provided below. Along with these guidelines are coding examples, contained in the shaded boxes, that have been developed to help illustrate the coding and/or sequencing guidance found in these guidelines. a. Glaucoma 1) Assigning glaucoma codes Assign as many codes from category H40, Glaucoma, as needed to identify the type of glaucoma, the affected eye, and the glaucoma stage. 2) Bilateral glaucoma with same type and stage When a patient has bilateral glaucoma and both eyes are documented as being the same type and stage, and there is a code for bilateral glaucoma, report only the code for the type of glaucoma, bilateral, with the seventh character for the stage. When a patient has bilateral glaucoma and both eyes are documented as being the same type and stage, and the classification does not provide a code for bilateral glaucoma (i.e. subcategories H40.10, H40.11 and H40.20) report only one code for the type of glaucoma with the appropriate seventh character for the stage. 3) Bilateral glaucoma stage with different types or stages When a patient has bilateral glaucoma and each eye is documented as having a different type or stage, and the classification distinguishes laterality, assign the appropriate code for each eye rather than the code for bilateral glaucoma. When a patient has bilateral glaucoma and each eye is documented as having a different type, and the classification does not distinguish laterality (i.e. subcategories H40.10, H40.11 and H40.20), assign one code for each type of glaucoma with the appropriate seventh character for the stage.
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