How is sequela coded?

How is sequela coded?

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. 40XS (Fatigue fracture of vertebra, site unspecified, sequela of fracture)

Is there a time limit on when a late effect code can be used how many codes does it typically take to code a late effect what would be the proper sequencing of these codes?

There is no time limit on when a sequela code can be used. The residual may be apparent early, such as in cerebral infarction, or it may occur months or years later, such as that due to a previous injury.

What is the time limit when assigning a sequela late effects code?

➢ General Guidelines: ✓ A sequela is the residual effect (condition produced) after the acute phase of an illness or injury has terminated. In ICD- 10-CM, the term “late effect” has been replaced with sequela. ✓ There is no time limit on when a sequela code can be used.

When coding a sequela what comes first?

➢ 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. ➢ There are additional guidelines for reporting sequelae of injuries.

What is an example of sequela?

Sequela: A pathological condition resulting from a prior disease, injury, or attack. As for example, a sequela of polio. Verbatim from the Latin “sequela” (meaning sequel). Plural: sequelae.

Does the order of diagnosis codes matter?

Diagnosis code order Yes, the order does matter. Each diagnosis code should be linked to the service (CPT) code to which it relates; this helps to establish medical necessity. Any changes to codes or to the order in which they are listed on the claim should be approved by the physician.

What order do ICD 10 codes go?

The ICD-10-CM coding convention requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a “Use Additional Code” note at the etiology code, and a “Code First” note at the manifestation code.

When do you use a sequela coding code?

As a reminder, a sequela is the residual effect (condition produced) after the acute phase of an illness or injury has terminated. There is no time limit on when a sequela code can be used. The residual may be apparent early, such as in cerebral infarction, or it may occur months or years later, such as that due to a previous injury.

What is the late effect code in ICD 9 cm?

In ICD-9-CM, codes identifying residual effects following treatment for the acute phase of an illness or injury are designated as late effect codes. In ICD-10-CM, the term “late effect” has been replaced with sequela.

Which is the code for the acute phase of the sequela?

The code for the acute phase of the illness or injury that led to the sequela is never reported with a code for the late effect. 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.

How is ICD 10 cm coding for sequelae of injuries?

ICD-10-CM Coding for Sequelae of Injuries. Part of mastering ICD-10-CM requires an understanding of the new terminology. In ICD-9-CM, codes identifying residual effects following treatment for the acute phase of an illness or injury are designated as late effect codes.