Medical Coding Viral Syndrome and Bronchitis – Video

Laureen: Q-30: I am ER coder, and the MD’s frequently provide a final diagnosis of viral syndrome, and bronchitis. Would both conditions be coded?

Medical Coding Viral Syndrome and Bronchitis – Video

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A: Well, basically, what you have to figure out is one considered bundled, or symptom of the other, in this case I don’t… I would say no. Right, Alicia, which, I would code both.

Alicia: Bronchitis doesn’t tell you to…because it’s an inflammation. Viral syndrome, they may want to know what the virus is, and if it is, then you could code that. But, yeah, you can code both of those, because a viral syndrome and bronchitis are two separate things. So, viral syndrome, there’s a code for that – and she’s got it there — but that’s also an unspecified code, so that’s not necessarily a good thing to do an unspecified. They want to know what type of viral things going on, viral syndrome is catch-all.

Laureen: Catch-all. Yeah. Jinx.

Alicia: Yeah, but it’s okay to put them both in there.

Laureen: And you know, so the rule of thumb is like the patient has sore throat and strep throat, you don’t code both because the sore throat is part of strep throat. But when it’s questionable, you’re not sure, my rule of thumb is go ahead and code both because it’s documented.

Alicia: That’s right.

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Laureen Jandroep

CPC, COC, CPPM, CPC-I.,Sr. Instructor for CCO.us. Laureen has over 25 years in the healthcare field. She graduated as an Occupational Therapist in 1986 and before long was running a successful therapy practice which did over 1.6 million in billing per year with a less than .06% rejection rate. Once Medicare changed how rehab companies were reimbursed this business was closed and Laureen eventually started a new company dedicated to teaching Medical Billing and Coding. Laureen has taught medical billing and coding since 1999 and currently does so through her comapny Certification Coaching Organization, LLC which does business as CCO.She resides in Florida with her husband of over 20 years Anthony and four children. They are active parents and spend most of their time these days just being parents which they love.

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