Primary Care Coding & Reimbursement: Poisoning vs. Reactions

June 6th, 2012

Each national conference AAPC gathers some of the best and brightest minds in the industry to discuss trends, timely topics,  and the future. Lisa Phillips, CPC, CPC-I gave a presentation on  “ICD-9 Coding for Medical Necessity”. This presentation was a source for two featured articles in the June edition of Primary Care Coding & Reimbursement newsletter on proper coding.

“The correct ICD-9 sequencing to bill poisoning is:

  1. Poisoning code from the Table of Drugs and Chemicals.
  2. Manifestations of the poisoning.
  3. Corresponding E code from the Table of Drugs and Chemicals.

The correct sequencing for an adverse effect is:

  1. The manifestations resulting from the drug reaction.
  2. An E code from code series E930-E949 to identify the drug causing the adverse reaction”

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