Quick Answer: In Orthopedics, What Does Subsequent Encounter Mean?

What does subsequent encounter mean?

Example 2: A subsequent encounter (character “D”) describes an episode of care during which the patient receives routine care for her or his condition during the healing or recovery phase.

What’s the difference between initial encounter and subsequent encounter?

Subsequent encounter. Use this for encounters after the physician performs the initial treatment, but the patient continues to receive care during the healing or recovery phase (e.g., cast change/removal, removal of fixation, medication adjustment).

When do you use subsequent encounter?

Seventh character “D,” subsequent encounter, is used for encounters after the patient has received active treatment of a condition and is receiving routine care for the condition during the healing or recovery phase.

What is the difference between sequela and subsequent encounter?

D (subsequent encounter) describes any encounter after the active phase of treatment, when the patient is receiving routine care for the injury during the period of healing or recovery. S (sequela) indicates a complication or condition that arises as a direct result of an injury.

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What is a subsequent treatment?

Subsequent therapy (subsequent treatment) is defined as therapy that is administered after the first course of therapy is completed, stopped, or changed.

What does Subsequent mean in medical coding?

Subsequent = D “ encounters after the patient has received active treatment of the injury and is receiving routine care for the injury during the healing or recovery phase”

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 are sequela codes?

5, scar conditions and fibrosis of skin. A sequela code is for complications or conditions that arise as a direct result of a condition or injury. Examples include joint contracture after a tendon injury, hemiplegia after a stroke or scar formation following a burn.

Can a sequela code be primary?

According to the ICD-10-CM Manual guidelines, a sequela (7th character “S”) code cannot be listed as the primary, first listed, or principal diagnosis on a claim, nor can it be the only diagnosis on a claim.

When do you use a sequela code?

Under injury reporting, 7th character “S,” sequela “is for use for complications or conditions that arise as a direct result of a condition, such as scar formation after a burn. The scars are sequelae of the burn.

What is subsequent hospital care?

Subsequent hospital care codes are reported once per day after the initial patient encounter (e.g., admission or consultation service), but only when a face-to-face visit occurs between provider and patient. The entire visit need not take place at the bedside.

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What is the difference between initial hospital care and subsequent hospital care?

DEFINITIONS. Initial hospital care – E&M codes (99221, 99222, 99223) used to report the first hospital inpatient encounter between the patient and admitting physician. Subsequent inpatient care – E&M codes ( 99231, 99232, 99233) used to report subsequent hospital visits.

What 7th character indicates a subsequent encounter?

Coding Aftercare For aftercare of an injury, coders should assign the acute injury code with the appropriate seventh character “D” (or expanded choices for fractures) for subsequent encounter. This change will be significant for those post-acute settings that provide subsequent care for injuries.

What is complication sequela?

A typical sequela is a chronic complication of an acute condition —in other words, a long-term effect of a temporary disease or injury—which follows immediately from the condition. Sequelae differ from late effects, which can appear long after—even several decades after—the original condition has resolved.

How do you use sequela codes?

The code that describes the sequela is reported first, followed by the code for the specific injury with a seventh character of S to identify the condition as a sequela of the injury.

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