Resolve Initial vs. Subsequent Encounter Misconceptions - AAPC End the sequela struggle for when to include a 7th character with this primer ICD-10-CM codes aren’t just for coding; they’re also used for payments, End the sequela struggle for when to include a 7th character
Wiki - Initial vs subsequent vs sequela - AAPC The use of the initial vs subsequent vs sequela is not based on the encounter being the first encounter with the provider It is based on the status of the injury
Sequela vs. Late Effects | Medical Billing and Coding Forum - AAPC Sequela Hi, Per ICD-10-CM Guidelines Sect I B 10 - "A sequel 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 infarctions, or it may occur months or years later, such that due to a previous injury Coding of sequela
Select the Right Episode of Care Every Time - AAPC Sequela is a residual effect that occurs after the acute phase of an illness or injury has passed, and now a complication of the original illness injury brings the patient back for further ongoing care Example: A patient had burns to an extremity The burns are healed but scarring is preventing the patient from having full mobility
Outpatient Facility Coding Alert - AAPC Remember that order matters when it comes to sequela diagnoses As an outpatient facility coder, you will encounter instances in which a prior injury, illness, or disease will exhibit new signs or symptoms after the initial injury or illness has subsided These manifestations from the previous trauma or illness, also known as sequela effects, can be extremely difficult to grasp from a ICD-10
Sequence ICD-10-CM Codes for Proper Payment - AAPC Sequela (Late Effects) A sequela condition is one that results from a previous disease or injury Coding for a late effect usually requires two codes Sequencing comes directly from the Official Guidelines at I B 10 Example: Keloid scar as a late effect of third-degree burn to the chest wall L91 0 Hypertrophic scar
Discern Between Manifestation, Sequela Diagnoses With 2 Examples . . . - AAPC See what the guidelines say for COVID-19 manifestation reporting While manifestation and sequela diagnoses are relatively few and far between, you’ve got to be prepared to code for them when they add an extra degree of complexity to your dictation report