Coding Tips

The latest information to keep updated for advanced coding.

CDI Tips: Immunodeficiency

CDI Tips: Immunodeficiency

Immunodeficiency or an immunocompromised state refers to a weakened immune system that results in more frequent infections that are more severe and last longer than usual. There are two types of immunodeficiency disorders: Primary and Secondary.    Primary disorders...

Coding Tip: Larynx Transplant

Coding Tip: Larynx Transplant

Larynx Transplant is an emerging procedure for patients with laryngeal dysfunction or laryngectomy. The procedure replaces a damaged (or excised) voice box (larynx) with a new one, potentially restoring voice, swallowing, and breathing functions. It can include the...

Coding Tips: LAP Flap (Lumbar Artery Perforator Flap)

Coding Tips: LAP Flap (Lumbar Artery Perforator Flap)

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: Endoscopic TransEsophageal Puncture (TEP)

Coding Tips: 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 Tips: Drug-eluting Resorbable Scaffold

Coding Tips: 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 Tips: Zero Balance Ultrafiltration

Coding Tips: 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 Tips: Anosognosia

Coding Tips: 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 Tips: Presymptomatic Diabetes Mellitus

Coding Tips: 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 Tips: Complication and Comorbidities

Coding Tips: 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 Tips: Cement and Fat Pulmonary Artery Embolisms

Coding Tips: 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...