Bulimia NervosaNew Codes Implemented October 1, 2024:  Code Assignment for Describing the Severity of the Bulimia:  F50.20, Bulimia nervosa, unspecified. F50.21, Bulimia nervosa, mild; with 1-3 episodes of inappropriate compensatory behavior per week. F50.22, Bulimia...

Recrudescence of a Prior StrokePer Coding Clinic, Second Quarter 2024: Recrudescence of an infarction refers to the recurrence of stroke-related deficits from a previous/old stroke. Therefore, it is appropriate to assign sequela(e) codes for conditions documented as...

Toxic and Metabolic Encephalopathy Per Coding Clinic, Second Quarter 2024:   When a patient has both toxic encephalopathy and metabolic encephalopathy and they are due to TWO SEPARATE CAUSES, both should be coded.   Code Example:  A patient presented to the...

Cerebral Petechial Hemorrhage Per Coding Clinic, Second Quarter 2024:   Definition:  A petechial hemorrhage of the brain is the same as a hemorrhagic stroke therefore, a separate code is assigned for intracerebral hemorrhage when the provider documents a...

Hill-Sachs and Bankart Lesion Per Coding Clinic, Second Quarter 2024:   Definition:  Hill-Sachs lesions, also known as Hill-Sachs defects, are posterolateral humeral head depression fractures that occur secondary to an anterior shoulder dislocation. The fracture...

Esophagogastric Junction Outflow Obstruction Per Coding Clinic, Second Quarter 2024: Definition:  An EGJOO is a motility disorder, which involves incomplete relaxation at the esophagogastric junction and poor peristalsis, as well as a physiologic barrier preventing...

Deep Brain Stimulation for Parkinson’s Disease Per Coding Clinic, Second Quarter 2024:   A patient with Parkinson’s disease presents for stage II deep brain stimulation system implantation (generator implantation and lead attachment). The patient is status post...

Endocardial Wireless Stimulation for WiSE®-CRT Per Coding Clinic, Second Quarter 2024: WiSE®-CRT: This system consists of an ultrasound transmitter and battery, which is placed in a pocket in the subcutaneous tissue. The other component, the receiver electrode, which...

April 2024 ICD-10-PCS Coding UpdatesUpdates include 41 new ICD-10-PCS procedure codes. Examples include: New Device for Palladium-103 Radioactive Implant in the brain: Palladium-103 GammaTiles® is used for brain tumors. New Qualifier for Irreversible Electroporation...

New code for Resistant Hypertension Valid for October 1, 2023 discharges Code and Definition: I1A.0 Resistant hypertension   May be documented as: Apparent treatment resistant hypertension, Treatment resistant hypertension, True resistant hypertension. The...

New codes for Coronary Microvascular Dysfunction Valid for October 1, 2023 dischargesCoronary Microvascular Dysfunction: Otherwise known as microvascular angina or Cardiac syndrome X.  Symptoms Include: Coronary Microvascular Dysfunction/Disease (CMD), otherwise known...

Complication Comorbidity Update Examples Include: Social Determinants of Health (SDOH) codes, Z59.00. Homelessness unspecified, Z59.01. Sheltered homelessness and Z59.02, Unsheltered homelessness will be considered CC’s (complication/comorbidity) beginning with...