ICD Guidelines Ch. 6 Diseases of the Nervous System Flashcards
When Dominancy is undocumented
the Right side will be the Default Dominant
When Left side is affected the default is
Non- dominant
Related to acute, chronic, neoplasm related, or postoperative
Pain
If the reason for the encounter is Pain Control or Management then code the
pain then cause
_____ pain is coded when documented & there is no time frame defining it.
Chronic
Neoplasm related pain associated, due to, related to, or w/ a malignancy is coded regardless of Acute or Chronic
The sequencing is based on the documentation or reason for the visit.
Chronic Pain Syndrome is coded when
Documented by a Physician
If General Pain is NOT specified
1st- R52
When the Right side is affected the default is
Dominant
General Pain is NOT coded in the section w/ the following types of Pain
Acute, Chronic, Post-Thoractomy, Post- Procedural, or Neoplasm- related
If the underlying cause of Pain is known
DO NOT use pain codes
Pain can be listed 1st when
A pt. is admitted for the insertion of a Neorostimulator for Pain control
Pain due to Implant Grafts not coded from Ch. 6
See Ch. 19
Post- Operative Pain NOT associated w/ a specific postoperative complication
Dr. MUST assign DX
Sequence 1st- G89
Post-operative Pain associated w/ a specific postoperative complication
Dr. MUST assign DX
1st- use appropriate complication code Ch. 19
2nd- G89.18 or G89.28 (if appropriate)
