Coding and CDI Tips
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Coding and CDI Tips
Coding Corner Tips: Metabolic Encephalopathy and Toxic Metabolic Encephalopathy
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...
Coding Corner Tips: Cerebral Petechial Hemorrhage
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...
Coding Corner Tips: Mediastinal Thymolipoma
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,...
CDI Tips & Friendly Reminders: Pneumonia
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...
Coding Corner Tips: Neobladder Formation Procedure
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...
Coding Corner Tips for Prone Transpsoas (PTP) Interbody Fusion
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...