Coding ICD-9 code

From: Glen Elrod (dr99645@yahoo.com)
Thu Mar 13 15:38:40 2008


I had a similar case to one posted by Rafael earlier. She is 72 with 'gas' per the vagina. I haven't had a chance to do the workup yet, but thats not the real question. In talking to her she doesn't have any fluid leaking to suggest a vesicovaginal fistula or for that matter a rectovaginal fistula based purely on symptoms.

So, what ICD-9 code to use? Her primary doc sent his note and his code was 473.0 or a maxillary sinus fistula, so clearly he just picked the first fistula he came to on his EMR.

Thanks,

Glen

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