[Monica RN,BSN]

Quick question...

I recently coded IV therapy as 99.21 as per my coding book. It would not accept in OASIS, and Was advised by a friend from another agency to code it as V58. something or other...

Primary was aspiration pneumonia, home on IV therapy and also a decubitus.

I coded it as
1. Aspiration Pneumonia
2. IV therapy antibiotics
3.Decubitus

what would you have done? and what do you use for IV therapy??

Thanks!
Monica

[Monica RN,BSN]

Just tossing this question out there again.... can any one advise me on this?
Thanks

[Traveler]

I am sorry but I can't answer this. In my last HH job I didn't have to code- it was done in the office. I just wrote down what I thought the top dx were on a sticky note and attached it to the admission. I'm now at a new hh job that I love but the admitting nurse has to do the coding. Does anyone know of any great cheat sheets that covers some frequently used hh codes? It all seems so overly complicated.

[renerian]

I really cannot tell you without checking the assessment. I will print off your priority as it is listed and post tomorrow. I tossed my code book out.....it was soon to be outdated. I buy one every year for home use/yeppers I am a nerd!

Where is the ulcer and what is the IV running into/central/picc/midline or midclavic?

renerian

[luvrn]

If mind is still here....IV Line Maintainence was coded as V58.1

Cathy

[nancynurz]

V codes are used when the underlying diagnosis is no longer active. If the infection is still active, the v code is not needed. You code the type of infection and the infectious organism secondary. If you were flushing a PICC or access port to keep it patent, this would be the v58.81 "Fitting & adjustment of vascular catheter". There is also v58.3 "Attention to surgical dressings and sutures" that would cover the dressing changes if it qualifies as a surgical site. The pneumonia is not a case-mix diagnosis, so MO245 does not apply. Then, if you add labs like a vanco peak and trough, you can also look at the v58.62 "Long-term (current) use of antibiotics" or if you were only in to do a follow up lab for drug monitoring, it could be v58.83, "Encounter for therapeutic drug monitoring". Did that help ?
The few IV situations I coded were normally clear cut, either the ATB to treat active infections or just a flush and patch. The MO250 will indicate that the pt has IV infusion in the home; this is where your PPS score is triggered. This looks like it would be MO230 Aspiration pneumonia MO240 Organism and last, the decub.
Listen to me, three recerts this week and I think I'm Nancy McGuire

[renerian]

Nancynurz thanks! Take care.

renerian

[Scolynbret]

Originally Posted by Traveler

I am sorry but I can't answer this. In my last HH job I didn't have to code- it was done in the office. I just wrote down what I thought the top dx were on a sticky note and attached it to the admission. I'm now at a new hh job that I love but the admitting nurse has to do the coding. Does anyone know of any great cheat sheets that covers some frequently used hh codes? It all seems so overly complicated.

The best thing that I ever did when I started Home Health Nursing four years ago was to start my own cheat sheet of common ICD9 codes. I keep it in a plastic sleeve in my binder and it's a quick scan down the page to find the right code.

[nancynurz]

Try http://www.myhomehealth.com . They have coding cheat sheets for v/e codes and for medical/ psych. They are sold in packs but if your employer will spring for 'em . . .

[Traveler]

Thanks so much Nancy for the link.I have already put it on my favorites since I know I will be going there often.

Ann