Coding
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Coding Tips: Endocarditis of Transplanted Aortic Valve with Bacteremia (1Q 2025 Coding Clinic)
Endocarditis of Transplanted Aortic Valve with Bacteremia (1Q 2025 Coding Clinic)Should bacteremia be coded separately in a patient who has streptococcus viridans bacteremia and endocarditis of a transplanted aortic valve? Do NOT assign code R78.81, Bacteremia. In...
What’s on the Horizon for Coding and Reimbursement? Preparing for ICD-10 Updates, Payer Downgrades, and Shifts in DRGs and APCs
This executive brief takes a closer look at the use of utilizing audit data to drive awareness, education, and operational improvements.
Coding Tips: Neo-atherosclerosis of Coronary Artery Stent (1Q 2025 Coding Clinic)
Neo-atherosclerosis of Coronary Artery Stent (1Q 2025 Coding Clinic)What is the correct code for neo-atherosclerosis of the coronary artery stent? T82.855A, Stenosis of coronary artery stent, initial encounter, for the occluded stents that were found to have...
Elevating Coding Audits: How to Utilize Audit Data to Drive Awareness, Education, and Operational Improvements
This executive brief takes a closer look at the use of utilizing audit data to drive awareness, education, and operational improvements.
Coding Tips: New Codes for Cement and Fat Pulmonary Artery Embolisms
Cement & Fat Pulmonary Artery Embolisms New Codes (I26.03 and I26.04) have been created at subcategory I26.0. (Valid for October 1, 2024 discharges)I26.0 Pulmonary embolism with acute cor pulmonale: I26.03 to capture cement embolism of pulmonary artery with acute...
Coding Tips: LAP Flap
LAP Flap (Lumbar Artery Perforator Flap) New Codes (Valid for October 1, 2024 discharges) 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...
Coding Tips: Zero Balance Ultrafiltration
Zero Balance Ultrafiltration (Coding Clinic, 1Q 2025) Ultrafiltration Explained: 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...
Coding Tips: Updates: Complications and Comorbidities
Updates - Complications and Comorbidities Homelessness codes in the SDOH section of ICD-10-CM are now Complications/Comorbidities effective with October 1, 2024 discharges. This is due to a higher average cost to care for such individuals. Updated Codes:...
Coding Tips: New Codes for Anosognosia
New Codes for Anosognosia (Valid for October 1, 2024 discharges)R41.85 is the new code for Anosognosia in the ‘Other symptoms and signs involving cognitive functions and awareness’ category. What is Anosognosia? Anosognosia, also called lack of insight, is a...
Coding Tip: Breech Delivery with No Problems
A newborn is delivered via cesarean section due to breech presentation and the exam did not reveal any hip problems or issues. Ultrasound of the hip was to be performed post-discharge, at 6 weeks of age. Should breech presentation be coded for the newborn? Yes. Assign...
Coding Corner Tips: Obesity Guidelines Update
Obesity Guidelines Update Obesity class designation can only be coded based on PROVIDER documentation. The obesity class codes in subcategory E66.81, Obesity class, require a fifth character to convey the severity of obesity. The obesity class should be...