What is a sequela 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 a sequela or late effect?
So, if a person was to get sick with a disease and after the disease is gone they still have problems, the leftover problem is called a sequela or a late effect. Let’s jump into the 3 examples we’re going to use:
What is sequencing in medical coding?
Patients often present with multiple conditions — some related, some not. Medical coders are tasked with selecting the most specific codes and putting them in the right order. This code arrangement is called “sequencing,” and it is an essential step to correct coding.
What is an example of sequencing?
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 This convention instructs you to “Code first” the underlying condition, followed by etiology and/or manifestations. Appears in the Official Guidelines at I.A.13.
When coding a sequela what comes first the late effect code or the residual?
One of those two codes describe the nature of the sequela (that is, the residual or what you're seeing right now) and one will describe the now-healed illness or injury that led to the current condition. Coding guidelines stipulate that the residual should be coded first, followed by the healed illness/injury.
What is the sequencing order when coding a sequela quizlet?
What is the sequencing order when coding a sequela (late effect)? The residual condition is coded first, and the code(s) for the cause of the late effect are coded as secondary.
What order should codes be sequenced?
Coding conventions require the condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a “code first” note with the manifestation code and a “use additional code” note with the etiology code in ICD-10.
Is sequela coded first?
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.
What is sequela quizlet?
A sequela is the residual effect (condition produced) after the acute phase of an illness or injury has terminated.
What is the time limit for when a code for a late effect can be used?
A late effect condition can appear immediately after an illness or injury, months after, or in some cases, years later. To report a late effect condition, you'll usually use two codes: One for the residual condition (e.g., scar), and another to identify the condition as a late effect of a previous illness or injury.
What is code sequencing?
Medical coders are tasked with selecting the most specific codes and putting them in the right order. This code arrangement is called “sequencing,” and it is an essential step to correct coding. This article focuses on identifying when you need to report additional diagnosis codes and determining their proper order.
How do you sequence codes?
1:5020:23SEQUENCING TIPS FOR MEDICAL CODING - YouTubeYouTubeStart of suggested clipEnd of suggested clipBecause it will tell you to code first or use additional code use additional code is going to tellMoreBecause it will tell you to code first or use additional code use additional code is going to tell you that that it's gonna fall secondary to the main code if it says code first clearly.
Which code is sequenced first when coding Injuries?
The code for the most serious injury, as determined by the provider and the focus of treatment, is sequenced first. Superficial Injuries- Superficial injuries such as abrasions or contusions are not coded when associated with more severe injuries of the same site.
In which position should you sequence a manifestation code in brackets?
In the alphabetical index, manifestation codes are listed as the secondary code in slanted brackets with the code for the underlying disease listed first.
What is sequela encounter in ICD 10?
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.
When do you use sequela?
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.
How long can a sequela be used?
There is no time limit on when a sequela code can be used. The residual effect may be present early or may occur months or years later. Two codes are generally required: one describing the nature of the sequela and one for the sequela. The code for the acute phase of the illness or injury is never reported with a code for the late effect.
What does the S in the injury code mean?
The ‘S’ is added only to the injury code, not the sequela code. The seventh character ‘S’ identifies the injury responsible for the sequela. The specific type of sequela (e.g. scar) is sequenced first, followed by the injury code.”.
How many codes are needed for sequela?
Coding of sequela generally requires two codes sequenced in the following order: the condition or nature of the sequel is sequenced first. Then the sequel code is sequenced second. An exception to the above guidelines are those instances where the code for the sequel is followed by a manifestation code identified in the Tabular List and title, ...
What is sequela in ICd 10?
Sequela#N#Hi,#N#Per ICD-10-CM Guidelines Sect I.B.10 -#N#"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 generally requires two codes sequenced in the following order: the condition or nature of the sequel is sequenced first. Then the sequel code is sequenced second.#N#An exception to the above guidelines are those instances where the code for the sequel is followed by a manifestation code identified in the Tabular List and title, or the sequel code has been expanded (at the 4th, 5th, or 6th character level) to include the manifestation (s). The code for the acute phase of an illness or injury that led to the sequela is never used with a code for the late effects."#N#From reading the above guidelines, I think there would be certain circumstances where a sequela could be primary. Once the acute phase of the illness of injury has terminated is when you can start coding the sequela.
Is a late effect the same as a sequela?
Also a late effect is the same as sequela just two different words. To be a sequela there must be some residual condition that is being treated. To just see a patient following an injury to change a dressing or a cast is a subsequent encounter not sequela. You must log in or register to reply here. Forums.
What is a sequela?
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.
What is the medical code arrangement called?
Medical coders are tasked with selecting the most specific codes and putting them in the right order. This code arrangement is called “sequencing, ” and it is an essential step to correct coding.
