Stream: implementers
Topic: Where is the coded Encounter
Bo Pritchard (Oct 01 2018 at 20:18):
When I look at an Encounter I'm expecting to see a list of ICDs (diagnoses) and CPTs (procedures) coded for that Encounter.
There is a Encounter.diagnosis list, but I don't see any ICD references to it so wasn't sure whether it's referring to something else entirely.
thanks for the help
Cooper Thompson (Oct 01 2018 at 20:56):
If you are looking for the coded info for billing, wouldn't that be be on the Account, rather than the Encounter? (although it looks like that stuff isn't on the Account resource at the moment, but that's probably something we should change).
Bo Pritchard (Oct 01 2018 at 20:59):
@Cooper Thompson I see it (diagnosis and procedure) in the Claim, but a Claim can contain multiple (0..*) Encounters. There should be a relationship between codes (cpt/icd) and the Encounter. Shouldn't there?
Jason Walonoski (Oct 01 2018 at 21:10):
Diagnosis codes are in Condition resources associated with an Encounter
Jason Walonoski (Oct 01 2018 at 21:10):
Procedure codes are similarly in Procedure resources associated with an Encounter
Cooper Thompson (Oct 02 2018 at 12:32):
Jumping back to the Account question, wouldn't we still want coded info on the Account, or some other pre-claim/post-encounter resource? We wouldn't want coders coding directly onto the claim, since if you have secondary payors and such, you'd only want to code once. So I'd think from a workflow perspective, you'd code onto the Account, then copy that forward onto each claim you send.
Yunwei Wang (Oct 06 2018 at 21:39):
@Bo Pritchard Encounter.diagnosis references to either Condition, which contains ICD codes, or Procedure, which contains CPT codes
Lloyd McKenzie (Oct 06 2018 at 22:01):
What codes each contain depends on your jurisdiction and policy. ICD and CPT are options
Last updated: Apr 12 2022 at 19:14 UTC
