Complication Comorbidity UpdateSocial 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 October 1, 2023...
World-class knowledge and up-to-date education and training guidance.
CDI Tips & Friendly Reminders: Pathological Fractures
Feb 15, 2024 | CDI, Coding + CDI, Coding Tips, Education & Training, News
Pathological FracturesDefinition: A bone fracture that occurs without adequate trauma, caused by an underlying disease.Diagnostic CriteriaIdentified in Radiology/Diagnostic Imaging such as X-Ray, CT, MRI, or bone scans. There are various underlying causes for...
Coding Tips: New Code for Resistant Hypertension
Feb 7, 2024 | Coding, Coding Tips, Education & Training, News
New Code for Resistant Hypertension (Valid for October 1, 2023 discharges)I1A.0 Resistant hypertension May be documented as: Apparent treatment resistant hypertension, Treatment resistant hypertension, True resistant hypertension. The ICD-10-CM Tabular instruction...
CDI Tips & Friendly Reminders: Hypertensive Crisis
Jan 22, 2024 | CDI, Coding + CDI, Coding Tips, Education & Training, News
Hypertensive CrisisDefinition: HTN: Systolic blood pressure (SBP) of 130mm Hg or more and/or diastolic blood pressure (DBP) of more than 80mm Hg HTN Crisis: Generic term to describe hypertensive urgency or hypertensive emergency, typically seen with elevated blood...
Decoding V28 Transition: Key Takeaways from Journal of AHIMA
Dec 21, 2023 | CDI, Coding, Coding + CDI, Coding Tips, Education & Training, Industry Insights, News
Medicare Advantage is on the brink of a significant restructuring as it transitions from V24 to V28 of the hierarchical condition categories (HCCs) risk adjustment model. In a recent Journal of AHIMA article, I partnered with Jeanie Heck, BBA, CCS, Education...
CDI Tips & Friendly Reminders: Respiratory Failure
Dec 18, 2023 | CDI, Coding + CDI, Coding Tips, Education & Training, News
Respiratory FailureDefinition: Syndrome where the respiratory systems fail in either or both the gas exchange function or oxygenation and carbon dioxide elimination. Recognized as either hypoxemic or hypercapnic.Coding Considerations:Review the circumstances of...
CDI Tips & Friendly Reminders: Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing
Nov 15, 2023 | CDI, Coding + CDI, Coding Tips, Education & Training, News
Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing DefinitionPoisoning: reaction to the improper use of a medication. This can include either:Wrong substanceWrong doseWrong personWrong Route of administrationTaken in combination of alcohol, illicit...
Coding Tip: Exagamglogene autotemcel
May 21, 2023 | Coding Tips, Education & Training
Exagamglogene autotemcel (Exa-cel) (aka CTX001™) is a genetically modified cell therapy that is used to increase fetal hemoglobin (HbF) in patients with sickle-cell disease (SCD) and transfusion-dependent beta-thalassemia (TDT). Exagamglogene autotemcel is an...
Social Determinants of Health (SDOH)
May 2, 2023 | Coding Tips, Education & Training
In 2021, Social Determinants of Health (SDOH) were added as risk factors to the CPT table used to determine the level of medical decision-making for evaluation and management (E/M) services provided during visits in an office or...
Refractory Angina Pectoris
Mar 7, 2023 | Coding, Coding Tips, Education & Training
New codes were assigned for refractory angina pectoris in FY 2023. These codes will differentiate refractory angina pectoris from other angina types and help ensure precise data collection coding. Chronic refractory angina pectoris is angina caused by irreversible...
Today’s Tip: Acute Respiratory Acidosis
Dec 29, 2022 | Coding, Coding Tips, Education & Training
New codes related to respiratory acidosis are now in place. Acute respiratory acidosis is now indexed to J96.02 (Acute respiratory failure with hypercapnia). Chronic respiratory acidosis is now indexed to J96.12 (Chronic respiratory failure with hypercapnia)....
Hepatic Encephalopathy
Nov 22, 2022 | Coding Tips, Education & Training
Code K76.82 We now have a code (K76.82) for Hepatic Encephalopathy for FY 2023. This includes documentation such as: "Hepatocerebral intoxication" and "Portal-systemic encephalopathy." It is important to note in the ICD-10-CM manual that we are to Code Also...