Late Result vs. Residual Result Medical Coding https://www.cco.us/
Q: “AAPC states: A ‘late result’ is the recurring result that stays after the severe stage of a health problem or injury has actually ended. It likewise states: The recurring impact is coded initially and is followed by the ‘late impact’ code to reveal the reason for the late impact condition.”
Did you get that, Boyd?
Boyd: Yeah, I did! Really clear.
Laureen: I can see why this is so complicated. Let’s take a look at the response sheet here.
Boyd: It assists when individuals see you talking really when you do this, I was simply believing.
Laureen: She went to state: “This principle truly problems me. I utilized to believe that the 2 terms (late impact and recurring impact) are the exact same things.”– They are, so you are proper. I’ll discuss why they mentioned the method they did. “Nevertheless, it appears to me that there’s one particular code for the recurring result and another code for the late impact. Could you offer me an example?”
A: This is how when I’m teaching this, believe “domino effect” and after that change the word “cause” and the word “result” with other methods to explain the very same thing. “Trigger” you might state “etiology” underlying condition. For “impact,” it might be late result or recurring impact. It’s the impact that the cause produced, if you will. “symptom” is likewise a method to explain a late result or recurring impact.
Now, that we comprehend, let’s simply speak about like when you have a stroke– so that’s a cause. An impact of a stroke might be hemiplegia. It might be dsyphagia (problem swallowing), dysphasia (difficulty speaking). That’s a domino effect circumstance.
Now, in ICD, we wish to be led by the standards and the standards will inform us often there are combination codes. One code that informs that domino effect story; other times, we require 2 codes to inform the story. We require a code for the cause and a code for the result. The result we were simply talking about with the stroke, let’s simply state it is 2 codes. The result might be the hemiplegia, however the cause is the stroke.
When they stated the sentence, “The recurring impact is coded initially and is followed by the late impact to reveal the cause.” When they state late impact, it’s either a typo and they implied to state etiology. Or they indicated, they’re describing the real ICD code. When you go to the index and you search for “late” in the index and after that “result of” and it indicates all of these codes – I’m going to reveal you that in a minute– that’s what I believe they’re discussing.
I provided you a little referral here for those that are in the Replay Club and they desire to see the Authorities Standards. For ICD-9-CM it’s Area 1. A. 6. For ICD-10- CM, it’s Area 1. A.13 where they discussed this etiology/manifestation convention.
Here’s a little clip I took from SuperCoder, from the ICD Index and I enjoy this function. If you’re a customer to SuperCoder, if you got to CodingCertification.Org/ Supercoder you can get a discount rate. You can really utilize this is as a genuine coding handbook, which I enjoy particularly given that I didn’t seem like going out this page and scanning it in or going out my file electronic camera.
I went to “L” and I’m going to down to “late”. What’s great about this, unlike the paper handbook is you do not have these methods to broaden and collapse however in the computer system one we can, so we’re going to broaden the plus sign beside “late” and now we see “late impact( s)” up. I’m going to broaden that and after that let’s simply take a look at “burn” and we can see here we have eye. If it’s a late result of a burn of the eye we’re going to code 906.5. The real code description if you to rely on it in the paper book it is late impact of burn of eye, face, head, and neck.
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