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Acquire substantial knowledge on pertinent and current coding industry subjects. Join Kim Felix & Jeanie Heck for an in-depth exploration of V28. Beginning January 2026, Medicare Advantage will fully implement the CMS-HCC Version 28 risk adjustment model,...
Cystic Fibrosis (CF)Definition: A hereditary disorder characterized by thick secretions in the lungs, pancreas, liver, intestine, and other organs resulting in multi-system disease. Median survival is approximately 50 years. Diagnostic Criteria Lab work: Elevated...
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...
Definition: HIV Disease is caused by human immunodeficiency virus, of all types, with destruction of CD4+ T-lymphocytes that help mediate the body’s immune response to infection. · The virus is bloodborne · It is most often transmitted through: o ...
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...
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...