Mediastinal ThymolipomaPer 3Q 2024 Coding Clinic:  Definition Mediastinal Thymolipoma: A  thymolipoma is a rare, benign neoplasm of the anterior mediastinum. Code Assignment ICD-10-CM code for a mediastinal thymolipoma (confirmed via pathology): Assign code D15.2,...

Neobladder Formation ProcedurePer 3Q 2024 Coding Clinic:  Code Example  A neobladder is formed using intestine that is still connected to its original vascular supply: A patient underwent laparoscopic radical cystectomy, along with formation of an orthotopic...

Prone Transpsoas (PTP) Interbody FusionPer 3Q 2024 Coding Clinic:  Code Example  A patient presented for an L3-L4 anterior lumbar interbody fusion via lateral retroperitoneal transpsoas approach: The patient was placed in the prone position in anticipation of a...

Anorexia NervosaNew Codes Implemented October 1, 2024:  Code Assignment for Describing the Type & Severity of the Anorexia: Anorexia nervosa, restricting type: F50.010:  mild; with a BMI greater than or equal to 17kg/m2 F50.011:  moderate; with a BMI of 16.0-16.99...

Obesity ClassesNew Codes Implemented October 1, 2024:  Code Assignment for Describing E66.81, Obesity class: E66.811, Obesity, class 1 (BMI of 30–34.9 kg/m², considered low risk) E66.812, Obesity, class 2 (BMI of 35–39.9 kg/m², considered moderate risk) E66.813,...

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...