This checklist is intended to provide Healthcare providers with a reference to use when responding to Medical Documentation Requests for the billing of diagnosis codes E40 and E42- Kwashiorkor/Marasmic Kwashiorkor. Healthcare Providers retain responsibility to submit complete and accurate documentation.
Check
Documentation Requirements
Admission and discharge summary to support diagnosis of this rare form of malnutrition.
All signed/authenticated physician orders pertaining to the date of service billed.
Comprehensive history and physical including documentation to support this diagnosis.
All progress notes to include consults with nutritional support and other disciplines.
All lab studies to include protein and albumin levels, patient weight and Body Mass Index (BMI).
Treatment logs and notes related to the care of the patient with this diagnosis.
Any medication records, nutritional records and infusion records.
Summary discharge note and follow up treatment plan
Loading...
