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ICD-10 Challenge - Critical Care

Posted: Fri Mar 20, 2015 9:31 am
by saj402
Dx T63.452, toxic effect of venom, could better support Critical Care services. R68.89, other general symptoms is pretty vague.

Re: ICD-10 Challenge - Critical Care

Posted: Fri Mar 20, 2015 10:51 am
by maryanne
I agree, R68.89 seems too vague. The toxicity due to hornets seems more appropriate (T63.452A)

Re: ICD-10 Challenge - Critical Care

Posted: Fri Mar 20, 2015 11:17 am
by charris
Only the T63.452A would be used for critical care. The diagnosis must be severe enough to endanger one or more of the vital organ systems. General systems are not usable for critical care visits. Allergic reactions to hornets can be a threat to life.

Re: ICD-10 Challenge - Critical Care

Posted: Fri Mar 20, 2015 11:47 am
by djfreedman
I agree looking at the two codes - Dx T63.452A, Toxic effect of venom of hornets, intentional self-harm, better supports Critical Care services. R68.89, other general symptoms is pretty vague and would not most likely cover critical care.

Re: ICD-10 Challenge - Critical Care

Posted: Tue Mar 24, 2015 9:05 am
by jfries1
Dx T63.452, toxic effect of venom, would better support Critical Care services. R68.89, other general symptoms, alone as a principal diagnosis is not specific enough to support critical care.

Re: ICD-10 Challenge - Critical Care

Posted: Fri Mar 27, 2015 9:17 am
by Shannon DeConda
RATIONALE:
The following is the answer to last weeks challenge and the rationale:
R68.89 Other general symptoms and signs: This ICD-10 code is not specific and on its own would not represent a medically necessary reason for critical care services
T63.452A Toxic effect of venom of hornets, intentional for self-harm, initial encounter: This code supports a basis for a potential need for critical care services.
Therefore T63.452A is the more likely code to support critical care. Note this code is required to have a 7th character which indicates the episode of care.