Certainly! Here’s a coding guide for Sequela encounter ICD-10 codes:
- Identify the underlying condition that resulted in the sequela. For example, if the patient has a history of stroke and is now experiencing paralysis as a result, the underlying condition is the stroke.
- Look up the ICD-10 code for the underlying condition. In this case, the ICD-10 code for stroke is I63.
- Find the appropriate code for the sequela. The codes for sequela are identified by the use of the seventh character “S” in the ICD-10 code. For example, the code for paralysis resulting from a previous stroke is I69.4.
- If the sequela is not specified in the medical record, use the code for the residual effect of the underlying condition. For example, if the patient has a history of traumatic brain injury and is now experiencing cognitive deficits, the appropriate code is F07.81, which is the code for post-traumatic cognitive impairment.
- If the sequela is not related to the underlying condition, use the appropriate code for the condition itself. For example, if the patient has a history of amputation and is now experiencing phantom limb pain, the appropriate code is G54.6, which is the code for phantom limb syndrome.
It’s important to note that Sequela codes are only used if the sequela is still present and being treated. If the sequela has resolved, it should not be coded as a sequela.
I hope this guide helps you in your coding endeavors!