They continue with sections 4-12. In future issues, we will be discussing in some manner these other official guidelines pertaining to neoplasms, poisonings, hypertension, obstetrics, newborn coding, trauma, HIV and outpatient services. The condition established after study to occasion the admission of the patient to the hospital. A diagnosis of moderate malnutrition is documented by the dietician on a nutrition assessment form. This is the only place that malnutrition is documented.
Treatment is rendered for the malnutrition.
It is noted that the patient is status post cataract extraction three months prior to admission. Code V45.61 should be reported. While an inpatient, a patient has a CT scan of the head. Procedure code 87.03 should be reported. Answers Answers 1.