icd 10 code meaning for subsequent encounter

Full Answer

When to use initial vs subsequent encounter?

So, the first time it was treated is always the initial encounter and then after that it’s always the subsequent encounter until it moves on to something else, like, a sequela. So, it’s not how many times the patient is necessarily seen, it’s how many times this particular diagnosis is used; so think of it that way.

What is subsequent encounter?

Subsequent encounter: After patient has received active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase. Examples of subsequent care are: cast change or removal, removal of external or internal

What does sequela encounter mean?

Verbatim from the Latin "sequela" (meaning sequel). Plural: sequelae. What is the difference between sequelae and subsequent encounter? D (subsequent encounter) describes any encounter after the active phase of treatment, when the patient is receiving routine care for the injury during the period of healing or recovery. S (sequela) indicates a complication or condition that arises as a direct result of an injury.

What does subsequent encounter mean in medical terms?

ICD-10-CM defines subsequent encounters as “encounters after the patient has received active treatment of the injury and is receiving routine care for the injury during the healing or recovery phase. When the patient is following the plan, that is subsequent. All this is further explained here.

What does subsequent encounter mean?

Example 2: A subsequent encounter (character “D”) describes an episode of care during which the patient receives routine care for her or his condition during the healing or recovery phase.

What is the difference between subsequent encounter and sequelae?

D (subsequent encounter) describes any encounter after the active phase of treatment, when the patient is receiving routine care for the injury during the period of healing or recovery. S (sequela) indicates a complication or condition that arises as a direct result of an injury.

When coding a sequela what comes first?

Coding of a sequela requires reporting of the condition or nature of the sequela sequenced first, followed by the sequela (7th character "S") code. Examples of sequela (7th character "S") diagnosis codes included in this policy: M48.

What does sequela mean in coding?

Sequela = S “for use for complications or conditions that arise as a direct result of an injury, such as scar formation after a burn. The scars are sequelae of the burn”

What 7th character indicates a subsequent encounter?

character DUse 7th character D, subsequent encounter, “for encounters after the patient has completed active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase.” When a code has an option for a subsequent encounter 7th character, you should use that character instead of ...

What is an example of sequelae?

For example, if you have rheumatic heart disease, your doctor might have made a note in your medical record that the condition is the sequelae of a case of rheumatic fever that you had as a child.

What is the difference between complication and sequelae?

However, it is important to note that with a sequela, the acute phase of an illness or injury has resolved or healed, and the sequela is left. Conversely, a complication is a condition that occurs as a result of treatment, or a condition that interrupts the healing process from an acute illness or injury.

What does sequelae mean in medical terms?

Definition of sequela 1 : an aftereffect of a disease, condition, or injury.

What is the sequence order when coding a sequela late effect?

Sequela (Late Effects) Coding of sequela generally requires two codes sequenced in the following order: The condition or nature of the sequela is sequenced first. The sequela code is sequenced second.

What does encounter diagnosis mean?

What is Encounter diagnosis mean? An episode defined by an interaction between a healthcare provider and the subject of care in which healthcare-related activities take place.

What is the difference between residual and late effects?

0:177:41Late Effect vs. Residual Effect Medical Coding - YouTubeYouTubeStart of suggested clipEnd of suggested clipSorry late effect versus residual effect a PC says a late effect is the residual effect that remainsMoreSorry late effect versus residual effect a PC says a late effect is the residual effect that remains after the acute phase of an illness or injury has terminated.

Which ICD-10-CM official guideline is concerned with sequela?

8, Sequelae of other specified infectious and parasitic diseases. According to the ICD-10-CM Official Guidelines for Coding and Reporting, a sequela is the residual effect (condition produced) after the acute phase of an illness or injury has terminated.

When coding a diagnosis What comes first?

Coding conventions require the condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a “code first” note with the manifestation code and a “use additional code” note with the etiology code in ICD-10.

How do you code initial encounters in ICD-10?

Per ICD-10 guidelines, you would again report S52. 222A for an initial encounter.

What diagnosis codes Cannot be primary?

Diagnosis Codes Never to be Used as Primary Diagnosis With the adoption of ICD-10, CMS designated that certain Supplementary Classification of External Causes of Injury, Poisoning, Morbidity (E000-E999 in the ICD-9 code set) and Manifestation ICD-10 Diagnosis codes cannot be used as the primary diagnosis on claims.

Which ICD-10-CM official guideline is concerned with sequela?

8, Sequelae of other specified infectious and parasitic diseases. According to the ICD-10-CM Official Guidelines for Coding and Reporting, a sequela is the residual effect (condition produced) after the acute phase of an illness or injury has terminated.