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CDI Insider – December Edition
Chronic Hypertension in Pregnancy (2Q 2025 Coding Clinic)
Chronic Hypertension in Pregnancy (2Q 2025 Coding Clinic) When a pregnant patient is diagnosed with ‘chronic hypertension’, assign a code from category O10, Pre-existing hypertension complicating pregnancy, childbirth and the puerperium. Chronic hypertension in...
Data Integrity: Quality AI Data Relies on HIM Expertise
CDI Tips: Social Determinants of Health
Topic: Social Determinants of Health Definition: Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, worship, and age. Diagnostic Criteria: Codes describing...
HIM Leaders Face Rising Denials and Increasing RADV Security
e4health Monthly Pulse – November Recap
Coding Tips: Chemotherapy Desensitization
Chemotherapy Desensitization (2Q 2025 Coding Clinic) When a patient is admitted for chemotherapy desensitization, assign code Z51.11, Encounter for antineoplastic chemotherapy, as the principal diagnosis. Chemotherapy desensitization...
Coding Tips: Lymphovascular Invasion
Lymphovascular Invasion (2Q 2025 Coding Clinic)The patient underwent an outpatient radical prostatectomy with pelvic LN dissection for prostate cancer. The final diagnosis listed on the pathology report indicates lymphovascular invasion; however, it also confirmed...
MRC Insider – 6th Edition
Coding Tips: Local Invasion of Cancer
Local Invasion of Cancer (2Q 2025 Coding Clinic)Pathology findings indicate poorly differentiated carcinoma/right renal cell carcinoma, invading the renal vein and renal sinus after a right robotic radical nephrectomy on an inpatient stay. Assign only code C64.1,...
🏥 The Great Reset: How AI and On-Shore Innovation Are Reshaping Healthcare Revenue Operations
CDI Tips: Intellectual Disability
Topic: Intellectual Disability Definition: Intellectual disability, formerly known as mental retardation, characterized by: Impairment of intellectual function (IQ< 70) Associated with adaptive behavior problems Begins prior to age 18 Disrupts abilities necessary...