Coding and CDI Tips
Sharing knowledge, experience, innovations and best practices to help organizations keep pace in the ever-changing healthcare industry
Coding and CDI Tips
Coding Tips: Hypoglycemia
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...
Coding Tips: Newly Prescribed Medicine
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...
Coding Tips: Prediabetes and Polyneuropathy
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...
CDI Tips: Myocardial Injury
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:...
Coding 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 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...
