Malnutrition Malnutrition: Deficiencies, excesses, imbalances, in a person's intake of energy and/or nutrients. The term malnutrition covers 2 broad groups of conditions: 1) ‘Undernutrition’—which includes stunting (low height for age), wasting (low weight for...
CDI Tips: Pancytopenia
Jul 16, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
PancytopeniaPancytopenia: A hematologic condition where there is a lower-than-normal number of red and white blood cells and platelets in the blood. Common etiologies include, but are not limited to: Autoimmune disorders Bone marrow disorders Genetic disorders...
CDI Tips: Cerebral Edema & Brain Compression
Jun 13, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
Cerebral Edema & Brain CompressionCerebral Edema Definition: Swelling of the brain. Can result from a variety of derangements that can stem from trauma, hypoxia, infection, CVA, intracerebral hemorrhage, metabolic derangements, hepatitis, Reye syndrome, carbon...
CDI Tips: Atrial Fibrillation (AF)
May 16, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
Atrial Fibrillation (AF) Paroxysmal AF Definition: Episodes terminate either spontaneously or with treatment within 7 days; may recur Persistent AF Definition: AF is continuous and lasts > 7 days, fails to terminate spontaneously Long-standing Persistent AF...
CDI Tips: Debridement
Apr 18, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
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...
