Question

What is the exception to the rule of coding nature of sequelae or condition before sequelae?

Answer 1

The exception to the rule of coding the nature of sequelae or condition before sequelae is when the nature of the condition is not known or is unspecified. In such cases, you would code the sequelae first.

Answer 2

The exception to coding the nature of sequelae first is for obstetric and perinatal conditions, where the current condition or nature of the sequela is coded before the sequela itself.

Step-by-step explanation:

The exception to the rule of coding the nature of sequelae or condition before sequelae refers to the coding guidelines in medical coding, particularly when using the ICD (International Classification of Diseases). According to these guidelines, typically the code for the sequela, or the residual effect after the acute phase of an illness or injury has ended, is sequenced first, followed by the code for the nature of the sequela. However, the exception to this rule is in the cases of obstetric and perinatal conditions, where the current condition or nature of the sequela should be coded first.

For example, if a patient has a sequela from a previous obstetric injury, such as postpartum cardiomyopathy, the current condition (the cardiomyopathy) would be coded before the fact that it is a sequela from an obstetric complication.