CAPC Palliative Care Discussion Forum
Billing and Financial
At Mount Carmel Health we have not had any problems with denials of delirium as a diagnosis. Dr. Phil Santa-Emma is our medical director and has had extensive experience with successful billing. He passes along the following comments. When we began, billing symptoms such as anxiety and delirium were scrutinzed but after clarification and some "push back" we have been successful in using these codes. If you are using the diagnosis code you run the risk of coding for the same diagnosis as the attending physician on the same day. Attendings would not respond well to being denied because of the palliative consultant billing for the diagnosis code. Their really isn't a role for the V code in billing. It is not pertinent to the individual patient and is not reimbursed.
Sharol Herr, RN, MSEd, CHPN
Nurse Clinician/Education Coordinator
Mt. Carmel Health System
Palliative Care Leadership Centers
Columbus, Ohio
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Re:correct code