Watch your “with”

Code changes happen tomorrow … doesn’t Oct. 1 always sneak up on us?

To look at my overview of the changes, just go to my Musings-of-a-Codeaholic page!

Along with code changes have come some guideline changes, and I want to remind everyone what CMS is now saying about “with”:

“The word “with” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List.

“The word “with” in the alphabetic index is sequenced immediately following

the main term, not in alphabetical order.”

The bolded text is the part that takes effect Oct. 1 This should eliminate a lot of confusion over relationships with this important preposition.

Looking for guidelines? Look no further!

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2 Comments to “Watch your “with””

  1. When a medical record states the patient has COPD and the patient says she has had asthma all her life. Do we code 493.90 asthma or 493.20 asthma with chronic obstructive pulmonary disease?

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