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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...
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...
Myocardial Injury and Acute Myocardial Infarctions Acute Myocardial Injury: Elevated cTN value above the 99th Percentile upper reference limit (URL). The injury is considered acute if there is a rise and /or fall of cTN values. Acute Non-Ischemic Myocardial Injury:...
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...
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...
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,...
Pneumonia Pneumonia: An inflammation of the air sacs in one or both lungs caused by infection due to several organisms including bacteria, viruses, and fungi. It can also be caused by inhaling gases, toxic fumes, and pollutants or by aspiration. Obstructions of the...
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...
SepsisSepsis: A clinical systemic, dysregulated host response to infection. It causes extensive inflammation throughout your body that can lead to organ failure and shock if not treated with early intervention. The term sepsis covers a broad group of conditions:...
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,...