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|

Vendor Contribution: The ABC’s of HCC’s

THE ABC’S OF HCC’S

Now that diagnosis coding is much more critical, both for immediate fee-for-service reimbursement and over the course of 2017 as Medicare uses that diagnosis data for Risk Adjustment under MIPS. So, do you know the ABC’s of HCC’s? Here are some key factoids I thought I would share with you… READ MORE

January 2nd, 2018|Coding, Vendor Contribution|

CODING TIP: Malnutrition & Intestinal Malabsorption on the Same Admission

Hi everyone,

Coding tip for the day…

Malnutrition and Intestinal Malabsorption on the Same Admission

Can you assign codes (E46 and K90.9) to both conditions?

There are conflicting excludes notes.

E40 – E46 Malnutrition has excludes 1 to K90- intestinal malabsorption

K00 – K95 Diseases of the digestive system has excludes 2 note for endocrine, nutritional and metabolic diseases (E00-E88)

Yes, you can. These are separate conditions. […]

December 12th, 2017|Coding|

VENDOR CONTRIBUTION

Using Data to Improve Coding Performance

Are you leveraging all the data elements available to you to optimize the performance of your HIM department?  Check out the article posted in October’s issue of “For The Record”, authored by Andrea Romero and Julia Hammerman of himagine, who share their insights on how technology and analytics processes can help leaders make better […]

December 5th, 2017|Coding, Vendor Contribution|

CODING TIP: Cannabinoid Hyperemesis Syndrome

Hi Everyone,

Coding tip for the day…

Are you searching for a code for cannabinoid hyperemesis syndrome. Look no further. Our outpatient coders helped to bring this question to Coding Clinic.

According to Coding Clinic response to the BMC query, assign the following codes:

Assign code T40.7x1A, Poisoning by cannabis (derivatives), accidental (unintentional), initial encounter, and code R11.2, Nausea with vomiting, unspecified, for […]

November 28th, 2017|Coding|

CODING TIP: Light Chain Deposition Disease and Hypertension

By Irene Fung, RN,  CCS
AHIMA Approved ICD-10 CM/PCS Trainer

Do you know the codes for end stage renal disease due to monoclonal immunoglobulin deposition disease “Light Chain Deposition Disease” and hypertension?

According to Coding Clinic response to BMC query, assign the following codes:

D89.89 Other specified disorders involving the immune mechanism
I12.0 Hypertensive Chronic kidney disease with stage 5 chronic kidney […]

November 7th, 2017|Coding|