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Coding Tips: Zero Balance Ultrafiltration
Zero Balance Ultrafiltration (Coding Clinic, 1Q 2025) Ultrafiltration Explained: Ultrafiltration is used to maintain volume management and/or filter the blood in order to reduce the adverse effects of hemodilution during CPB. Example: A patient was admitted for a...
Coding Tip: Breech Delivery with No Problems
A newborn is delivered via cesarean section due to breech presentation and the exam did not reveal any hip problems or issues. Ultrasound of the hip was to be performed post-discharge, at 6 weeks of age. Should breech presentation be coded for the newborn? Yes. Assign...
Coding Tips: New Codes, Branched Intraluminal Device
New Technology, Branched Intraluminal Device New Codes (Valid for October 1, 2024 discharges) The GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE) is a branched intraluminal device that is used for repair of thoracoabdominal aortic aneurysms (TAAA) and...
Coding Tips: New Codes, Drug-eluting Resorbable Scaffold
New Technology, Drug-eluting Resorbable Scaffold New Codes (Valid for October 1, 2024 discharges) New Technology: Esprit™ BTK Everolimus Eluting Resorbable Scaffold System Esprit is designed to physically support the vessel and release everolimus to reduce the risk of...
Coding Tips: Updates: Complications and Comorbidities
Updates - Complications and Comorbidities Homelessness codes in the SDOH section of ICD-10-CM are now Complications/Comorbidities effective with October 1, 2024 discharges. This is due to a higher average cost to care for such individuals. Updated Codes:...
Coding Corner Tips: Obesity Guidelines Update
Obesity Guidelines Update Obesity class designation can only be coded based on PROVIDER documentation. The obesity class codes in subcategory E66.81, Obesity class, require a fifth character to convey the severity of obesity. The obesity class should be...
CDI Tips: Electrolyte Disorders
Electrolyte Disorders Electrolyte imbalances are defined as electrolyte levels that fall outside the normal reference ranges established by institutional laboratories. Management of these imbalances typically includes correction of the abnormal values, daily...
Coding Tips: Connectomic Analysis Mapping of the Brain
Connectomic Analysis Mapping of the Brain New Codes (Valid for October 1, 2024 discharges) Connectomics is the study of nervous system connections of the brain. Mapping allows the assessment of brain connectivity and function relevant to the causes of mental and...
Coding Tips: New Codes for Anosognosia
New Codes for Anosognosia (Valid for October 1, 2024 discharges)R41.85 is the new code for Anosognosia in the ‘Other symptoms and signs involving cognitive functions and awareness’ category. What is Anosognosia? Anosognosia, also called lack of insight, is a...
Coding Tips: COVID Guidelines Update
COVID Guidelines Update As of April 2025, documentation of a positive COVID-19 test alone no longer confirms a diagnosis of COVID-19. Provider documentation is REQUIRED. Note the verbiage that has been removed from the Official Guidelines for Coding and...
Coding Tips: New Codes for Carcinoid Heart Syndrome/Hedinger Syndrome
New Codes for Carcinoid Heart Syndrome (Valid for October 1, 2024 discharges)Code E34.0 was expanded to create new codes to identify Carcinoid syndrome: • E34.0 Carcinoid syndrome• E34.00 Unspecified• E34.01 Carcinoid heart syndrome• E34.09 Other Carcinoid...
Coding Tip: Computer-Assisted Navigation with Mazor X Stealth™ Robotic Guidance
A patient with scoliosis and progressive deformity was admitted for posterior spinal fusion with instrumentation. A longitudinal incision along the length of the spine was made. The posterior elements of the spine were identified and prepared for fusion. A Mazor X™...