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...
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Coding Tips: New Codes for Type 1 Presymptomatic Diabetes Mellitus
May 7, 2025 | Coding, Coding Tips, Education & Training, News
Type 1 Presymptomatic Diabetes Mellitus New Codes (Valid for October 1, 2024 discharges) Presymptomatic T1D consists of the presence of islet autoantibodies or biomarkers that attack islet autoantigens, such as insulin-producing beta cells in the pancreas. Multiple...
Coding Tip: Larynx Transplant
May 7, 2025 | CDI, Coding, Coding + CDI, Coding Tips, News
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 Tip: Jaundice in a Preterm Newborn
May 7, 2025 | CDI, Coding, Coding + CDI, Coding Tips, News
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...
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, 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, 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,...
Coding Tips: Hypoglycemia
Dec 30, 2024 | Coding, Coding Tips, Education & Training, News
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...
Coding Tips: Newly Prescribed Medicine
Dec 26, 2024 | Coding, Coding Tips, Education & Training, News
Newly Prescribed MedicineUsing "Long-Term Use" Code Code Assignment: It would be appropriate to assign a code from category Z79, Long-term (current) drug therapy, when a patient is prescribed a medication that is intended to be taken on a long-term basis to control a...
Coding Tips: Prediabetes and Polyneuropathy
Dec 19, 2024 | Coding, Coding Tips, Education & Training, News
Prediabetes and PolyneuropathyPolyneuropathy due to prediabetes evidenced by abnormal gait, increased sensitivity to pain in left upper extremity and left lower extremity. What are the correct ICD-10-CM code assignments for polyneuropathy due to prediabetes? Per 3Q...
Coding Tips: Metabolic Encephalopathy and Toxic Metabolic Encephalopathy
Dec 10, 2024 | Coding, Coding Tips, Education & Training, News
Metabolic Encephalopathy and Toxic Metabolic EncephalopathyIf toxic encephalopathy and metabolic encephalopathy are due to two separate causes; both codes can be used fully capture the patient’s condition. Example from 2Q 2024 Coding Clinic: A patient presented to the...
Coding Tips: Cerebral Petechial Hemorrhage
Dec 3, 2024 | Coding, Coding Tips, Education & Training, News
Cerebral Petechial HemorrhageAs far as ICD-10-CM is concerned, a petechial hemorrhage of the brain is the same as a hemorrhagic stroke. A separate code is assigned for intracerebral hemorrhage when the provider documents a petechial hemorrhage of the brain. Example...

