A critically ill premature newborn was delivered at 23 weeks of gestation and diagnosed with jaundice. Phototherapy was provided and bilirubin levels were monitored. Is it appropriate to assign code P59.0, Neonatal jaundice associated with preterm delivery, based on...
Guidance and advice to most effectively tell the story of your patients.
Coding Tip: COVID Guidelines
Apr 7, 2025 | CDI, Coding, Coding + CDI, Coding Tips, News
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 Reporting. Code only confirmed cases:...
CDI Tips: Functional Quadriplegia
Mar 17, 2025 | CDI, CDI Tips, Coding, Coding + CDI, Coding Tips, News
Explore the causes, symptoms, and treatment options for Acute Tubular Necrosis, a severe disability caused by a condition that does not involve the spinal cord.Describes a complete inability to move due to severe disability caused by a condition that does not involve...
CDI Tips: Acute Tubular Necrosis (ATN)
Feb 21, 2025 | CDI, CDI Tips, Coding, Coding + CDI, Coding Tips
Explore the causes, symptoms, and treatment options for Acute Tubular Necrosis, a critical condition affecting kidney function.Acute Tubular Necrosis (ATN) involves the death of tubular epithelial cells that form the renal tubules. The etiology is intrarenal,...
CDI Tips: HIV Disease/AIDS
Jan 16, 2025 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
Definition: HIV Disease is caused by human immunodeficiency virus, of all types, with destruction of CD4+ T-lymphocytes that help mediate the body’s immune response to infection. · The virus is bloodborne · It is most often transmitted through: o ...
CDI Tips: Myocardial Injury
Dec 16, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
Myocardial Injury and Acute Myocardial Infarctions Acute Myocardial Injury: Elevated cTN value above the 99th Percentile upper reference limit (URL). The injury is considered acute if there is a rise and /or fall of cTN values. Acute Non-Ischemic Myocardial Injury:...
CDI Tips: Pneumonia
Nov 15, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
Pneumonia Pneumonia: An inflammation of the air sacs in one or both lungs caused by infection due to several organisms including bacteria, viruses, and fungi. It can also be caused by inhaling gases, toxic fumes, and pollutants or by aspiration. Obstructions of the...
CDI Tips: Sepsis
Oct 16, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
SepsisSepsis: A clinical systemic, dysregulated host response to infection. It causes extensive inflammation throughout your body that can lead to organ failure and shock if not treated with early intervention. The term sepsis covers a broad group of conditions:...
CDI Tips: Encephalopathy
Sep 12, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
EncephalopathyEncephalopathy: "Any diffuse disease of the brain that alters brain function or structure" according to the National Institute of Neurological Disorders of Stroke. The term encephalopathy covers two broad groups of conditions: Acute encephalopathy - is...
CDI Tips: Malnutrition
Aug 15, 2024 | CDI, CDI Tips, Coding + CDI, Coding Tips, Education & Training, News
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...
