Coding

New Credential-VOTE- New Human Trafficking Codes

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October 24th, 2018|Coding|

MEET THE SPEAKER: Linda Hyde, RHIA

Linda Hyde, RHIA Presents Case Studies and Advanced ICD-10-CM!

Linda is a consultant currently participating in projects related to electronic data collection for performance measurement and other initiatives. As a terminology analyst for these projects she regularly works with various classification and terminology systems including ICD9, ICD10, RxNorm, LOINC and SNOMED CT. She has extensive knowledge of data standards and […]

MEET THE SPEAKER: Luisa DiIeso, MS, RHIA, CCS

Luisa DiIeso, MS, RHIA, CCS, returns by popular demand with Case Studies and Advanced ICD-10-PCS!

The goal of the PCS training session is to work with a cross-section of redacted procedure reports submitted by a variety of local members.  In addition to the practical coding portion of the session, we’ll review and reinforce some key PCS coding guidelines; all applicable […]

CODING TIP: Periprosthetic Fracture

By Cathie Wilde, RHIA, CCS – Director of Coding Services, Medical Record Associates, LLC

Periprosthetic Fracture
Two codes are required when a patient has a periprosthetic fracture. These are not considered complications of the prosthesis as the prosthesis, itself is not fractured but the area around the prosthesis is fractured). The fractures can occur as a result of trauma or a pathological […]

May 15th, 2018|Coding|

CODING TIP: Chronic CHF

By Cathie Wilde, RHIA, CCS – Director of Coding Services, Medical Record Associates, LLC

Here are some common coding situations which have Coding Clinic references but for which I often find are missed.

When a patient has a diagnosis of a known history of systolic CHF – how is this coded?
This is coded to chronic systolic CHF (I50.42) due to the patient’s […]

May 15th, 2018|Coding|

CODING TIP: Sick Sinus Syndrome

Sick Sinus Syndrome
By Cathie Wilde, RHIA, CCS – Director of Coding Services, Medical Record Associates, LLC

Here are some common coding situations which have Coding Clinic references but for which are often missed:

 

If a patient has a pacemaker in place for sick sinus syndrome (SSS), should the SSS (I49.5) be coded because it is being treated with the pacemaker?

If there is […]

March 20th, 2018|Coding|

VENDOR CONTRIBUTION

5 Benefits of Year-Round HCC Charge Capture

Let’s face it, risk season is chaotic. From July to December, sometimes even into January, everyone is scrambling to find quality coders with the unique qualifications needed to effectively code for risk adjustment (RA) and hierarchical condition categories (HCC). If you are lucky enough to find coders, you still have the stress of […]

CODING TIP

Code Assignment For Uremic Encephalopathy
Irene Fung, RN,  CCS,  AHIMA Approved ICD-10 CM/PCS Trainer
Manager QA/Education
Clinical Documentation Coding Integrity
Boston Medical Center

Per Coding Clinic response to query, Unspecified encephalopathy due to other conditions is classified to G94, Other disorders of brain in diseases classified elsewhere, and unless the condition is specifically documented as (toxic) metabolic encephalopathy, you would not assign code G93.41 […]

March 6th, 2018|Coding|

CODING TIP: Diagnostic vs. Therapeutic Excisions

Diagnostic vs. Therapeutic Excisions
By Cathie Wilde, RHIA, CCS – Director of Coding Services, Medical Record Associates, LLC

When a pathological specimen is removed during an operative procedure and is sent to the lab, is the procedure considered diagnostic and/or therapeutic? Is excisional biopsy therapeutic or diagnostic?

The most important factor in determining the procedure as diagnostic and/or therapeutic is to assess the […]

January 23rd, 2018|Coding|

CODING TIP: Hemorrhage of Thyroidectomy

What is the code for hemorrhage occurred in the surgical bed (deeper than the skin and subcutaneous tissue) of a total thyroidectomy?

According to Coding Clinic response, assign code E89.810 Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure.

Happy coding!

Irene Fung, RN,  CCS,  AHIMA Approved ICD-10 CM/PCS Trainer
Manager QA/Education
Clinical Documentation Coding Integrity
Boston Medical Center

January 16th, 2018|Coding|