Medical Coding

Category - ICD-10-CM Volumes 1 and 2

How are coexisting conditions that the patient has but are not the primary reason for the encounter coded? Which answer is incorrect regarding coexisting conditions?
  1. All conditions in the patient’s medical history should be coded
  2. All conditions that coexist at the time of the encounter should be coded, if they affect or require a plan of care in the patient’s treatment plan
  3. Conditions that previously existed and were treated that no longer exist should not be coded
  4. History codes may be used as secondary codes for conditions that previously existed but that have been treated and no longer exist
Explanation
Answer: A - Conditions in the patient’s medical history do not need to be coded unless they require or affect that patient’s treatment care plan. Only those codes that directly apply to the encounter should be utilized. However there are “history codes” that can be used to indicate previous medical history that directly impacts the current diagnoses and treatment plan.
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