Coding and CDI Tips
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Coding and CDI Tips
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...
Coding 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: 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...