Common Chronic Conditions coded in Emergency Department

In Emergency Department, we have to code all the chronic conditions associated with the patient. Chronic conditions are lifelong and hence should be coded with the present diagnosis. The patient will be taken care after taking note of all these chronic conditions. Earlier, mostly we use to get all the old age patient with chronic condition but nowadays with the change in lifestyle even younger people are getting affected with chronic disease like diabetes, hypertension etc. These information are very helpful for preparing and clearing CPC or CCS exam.  We are here just to review all the basic or common diagnosis reported with the patient in Emergency department.

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Common Chronic Conditions coded in Emergency Department
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Where to find and Code Chronic Conditions

The chronic conditions are always present in the patient’s medical history. Do not code from the patient family medical history. The medical history will be giving all the information about the patients past diagnosis or disorders. We have to check for the chronic conditions, which will be for lifelong with the patient. Do not code for the acute condition like anemia, heart attack, pulmonary embolism etc. these condition are not lifelong and hence should be avoided. The chronic condition are coded as present condition only, we are not suppose to code the history code. Also remember do code the diagnosis from Past Medical History (PMH) for which patient is still taking home medication For example, if a patient is taking Insulin in home medication list and has diabetes in PMH, we have to code diabetes. Let us checkout the common conditions found in PMH.
Asthma- J45.909
CODP- J44.9
CVA- I63.9
CAD- I25.10
Atrial fibrillation – I48.91
Hypertension- I10
Diabetes – E11.9
Chronic Kidney disease – N18 series
Hypercholesterolemia – E78.0
Hypothyroidism- E03.9

Drugs or Medication coded for Chronic Conditions

If there are chronic conditions, the patient will obviously taking lifelong medication for that disease. For example, the patient with diabetes will take insulin to keep a control on glucose level in blood. Hence, we are supposed to code for the long-term use of these medications as well. The most common medication which the Emergency department (ED) coders come across is the
Insulin – Z79.4
Coumadin (Warfarin Sodium) – Z79.01
Plavix (Clopidogrel Bisulfate) – Z79.02
Aspirin – Z79.82
Coumadin is used as an Anti-coagulant agent, used to prevent heart attacks, strokes and blood clots in veins and arteries. Warfarin is commonly called as blood thinner but the exact name is Anticoagulant.
Plavix is an Antiplatelets agent and helps to prevent platelets in your blood from sticking together and forming a blood clot. Plavix is used to prevent blood clots after a recent heart attack or stroke, and in people with certain disorders of the heart or blood vessels.
Aspirin is used to treat mild to moderate pain and to reduce fever or inflammation.

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