Here are my thoughts on Coding Clinic, First Quarter, 2023:
In the second situation, the only difference seemed to be that the lesions found on endoscopy were bleeding and cauterized. Coding Clinic said “the primary focus of the admission was to diagnose and treat the bleeding conditions” which “were responsible for the anemia,” so one of the bleeding conditions should be selected, and they discounted the anemia as a potential PDx. I don’t disagree with choosing one of the bleeding conditions, but I think it is because the procedures done were therapeutic (as opposed to diagnostic EGD without source being identified). One would presume that both cases had anemia of similar and sufficient magnitude justifying admission and transfusions.
As usual, my best advice is to read the Coding Clinic yourself.
EDITOR’S NOTE Day 3 of the federal shutdown continues. This article by Mark Spivey is part of a special section today published by RACmonitor and
As expected, the federal shutdown began early Wednesday morning. What’s unknown is how long it will continue. Neither congressional Republicans nor Democrats appear to be
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