Debridement Excisional Debridement Definition: The surgical removal or cutting away of devitalized tissue, necrosis, and slough. Non-Excisional Debridement Definition: The nonoperative brushing, irrigating, scrubbing, or washing of devitalized tissue, necrosis,...
CDI Tips: Coma
Mar 15, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
ComaDefinition: Deep state of unconsciousness where patients are unable to move or be aware of or respond to their surroundings with loss of thinking abilities however retain non-cognitive function and normal sleep patterns.Diagnostic CriteriaA comprehensive...
CDI Tips: Pathological Fractures
Feb 15, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
Pathological FracturesDefinition: A bone fracture that occurs without adequate trauma, caused by an underlying disease.Diagnostic CriteriaIdentified in Radiology/Diagnostic Imaging such as X-Ray, CT, MRI, or bone scans. There are various underlying causes for...
CDI Tips: Hypertensive Crisis
Jan 22, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
Hypertensive CrisisDefinition: HTN: Systolic blood pressure (SBP) of 130mm Hg or more and/or diastolic blood pressure (DBP) of more than 80mm Hg HTN Crisis: Generic term to describe hypertensive urgency or hypertensive emergency, typically seen with elevated blood...
CDI Tips: Respiratory Failure
Dec 18, 2023 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
Respiratory FailureDefinition: Syndrome where the respiratory systems fail in either or both the gas exchange function or oxygenation and carbon dioxide elimination. Recognized as either hypoxemic or hypercapnic.Coding Considerations:Review the circumstances of...
CDI Tips: Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing
Nov 15, 2023 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing DefinitionPoisoning: reaction to the improper use of a medication. This can include either:Wrong substanceWrong doseWrong personWrong Route of administrationTaken in combination of alcohol, illicit...
CDI Tips & Friendly Reminders: Acute Kidney Injury (AKI)
Oct 19, 2023 | CDI, CDI Tips, Coding, Coding + CDI, Industry Insights, News
Acute Kidney Injury (AKI) DefinitionAn abrupt (within hours) decrease in kidney function, which encompasses both injury (structural damage) and impairment (loss of function). Etiology categorized as:Pre-Renal: Caused by any type of reduced blood flow to the...
CDI Tips: Properly Capturing Lactic Acidosis
Mar 21, 2023 | Best Practices, CDI, CDI Tips, Coding Tips
A recent discussion regarding lactic acidosis in a patient with sepsis has prompted a review of some important points that need clarification. First and foremost, lactic acidosis is not considered inherent to Sepsis. Additionally, acidosis is not noted as an...
CDI Tips: Pregnancy and Mpox
Jan 10, 2023 | CDI, CDI Tips, Coding Tips
Most patients will not be admitted to the hospital with mpox, but some patients with weakened immune systems, children under age 8, and pregnant or breastfeeding women can experience serious illness.
CDI Tips: Dementia
Nov 10, 2022 | Best Practices, CDI, CDI Tips
Dementia: Will we need more queries? The short answer is yes! We need documentation of none, other, or a specified type of mood disorder. But here is the long answer: “Dementia The ICD-10-CM classifies dementia (categories F01, F02, and F03) on the basis of the...

