The LAP flap is a type of autologous breast reconstruction that uses skin and tissue from the lower back and love handle to make a breast This detached tissue is used to make a breast and small arteries and veins are sutured under a microscope to allow the tissue to...
Coding Tips
The latest information to keep updated for advanced coding.
Coding Tip: Endoscopic TransEsophageal Puncture (TEP)
TEP (Endoscopic TransEsophageal Puncture) is a new ICD-10-PCS valid with April 2025 discharges. A TEP with voice prosthesis provides the ability to speak after a total laryngectomy. A one-way valve implant is placed in a small hole that is made between the trachea and...
Coding Tip: Drug-eluting Resorbable Scaffold
Esprit™ BTK Everolimus Eluting Resorbable Scaffold System Esprit is designed to physically support the vessel and release everolimus to reduce the risk of re-narrowing. Over three years, the scaffold is resorbed to allow vessel remodeling and reduce the chances of...
Coding Tip: Zero Balance Ultrafiltration
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 coronary artery bypass graft (CABG) procedure. During the CABG, the surgeon noted...
Coding Tip: Anosognosia
Anosognosia, also called lack of insight, is a neurological condition in which the individual is unaware of, and unable to accept their neurological deficit or psychiatric condition. It is associated with mental illness, dementia, and structural brain lesions, such as...
Coding Tip: Presymptomatic Diabetes Mellitus
Subcategory E10.A, Type 1 diabetes mellitus, presymptomatic, has been created with new codes to capture distinct stages of presymptomatic type 1 diabetes (T1D) mellitus. Presymptomatic T1D consists of the presence of islet autoantibodies or biomarkers that attack...
Coding Tip: Complication and Comorbidities
Homelessness codes in the SDOH section of ICD-10-CM are now Complications/Comorbidities effective with October 1, 2024 discharges. The reason? There is a higher average cost to care for such individuals.Z59.10- Inadequate housing, unspecified Z59.11- Inadequate...
Coding Tip: Cement and Fat Pulmonary Artery Embolisms
Two new codes have been created at subcategory I26.0, Pulmonary embolism with acute cor pulmonale, to capture cement embolism of pulmonary artery with acute cor pulmonale (I26.03), and fat embolism of pulmonary artery with acute cor pulmonale (I26.04).Pulmonary cement...
CDI Tip: Functional Quadriplegia
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 Tip: Acute Tubular Necrosis (ATN)
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 & Friendly Reminders: HIV Disease/AIDS
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 ...
Coding Corner Tips: Hypoglycemia
Hypoglycemia New Codes Effective with October 1, 2024 Discharges Category E16, Other disorders of pancreatic internal secretion has been expanded and codes have been created to capture the levels of hypoglycemia. Code Assignment: These new codes are intended to be...