Medical Billing Coding - delirium, cpt, codes
medical billing and coding forum

BC Advantage Magazine


General Medical Coding Forum

New Topic  |  Search

Thread Topic: delirium
Topic Originator: cee
Post Date October 4, 2010 @ 9:27 AM

October 4, 2010 @ 9:27 AM Reply  |  Email Friend   |  |Print  |  Top

Patient came in and was treated because of acute delirium.  I querried the physician for a cause of the delirium and he said hyponatremia/malignant hypertension.  Do I code the acute deliruim as principal or the hyponatremia/malignant hypertension?

October 6, 2010 @ 9:41 PM Reply  |  Email Friend   |  |Print  |  Top

IP or OP?  Either way the Dr. needs to document the query answer in the record and state it as such that the delirium was caused by XXX or XXX.  Then follow the rules for the place of treatment- in the hospital- could code either following the "That which after study caused admission" rule; OP is always a different story- maybe an OP coder can help there.

October 8, 2010 @ 8:31 AM Reply  |  Email Friend   |  |Print  |  Top

The patient was an acute patient.  I'm coding the hyponatremia first. Hope that's right.

Copyright © 2008 Billing-Coding Inc