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
CDI Tips: Atrial Fibrillation (AF)
Atrial Fibrillation (AF) Paroxysmal AF Definition: Episodes terminate either spontaneously or with treatment within 7 days; may recur Persistent AF Definition: AF is continuous and lasts > 7 days, fails to terminate spontaneously Long-standing Persistent AF...
CDI Tips: Debridement
Debridement Excisional Debridement Definition: The surgical removal or cutting away of devitalized tissue, necrosis, and slough. Non-Excisional Debridement Definition: The nonoperative brushing, irrigating, scrubbing, or washing of devitalized tissue, necrosis,...
Coding Tips: Myocardial Infarction with Angina
Myocardial Infarction with Angina Per Coding Clinic, First Quarter 2024: Is it appropriate to assign a code for CAD with angina for the severe native multi-vessel disease that resulted in the MI? Examples: Assign code I21.4: Non-ST elevation (NSTEMI) myocardial...
CDI Tips: Coma
ComaDefinition: Deep state of unconsciousness where patients are unable to move or be aware of or respond to their surroundings with loss of thinking abilities however retain non-cognitive function and normal sleep patterns.Diagnostic CriteriaA comprehensive...
Coding Tips: Underdosing
UnderdosingPer Coding Clinic, First Quarter 2024: Underdosing when a PRN medication is not taken Example: Documentation states: A patient presents to the ED with shortness of breath due to an exacerbation of asthma. The patient did not take his PRN medication,...
Coding Tips: New Codes for Sickle Cell Disease with Dactylitis
New Codes for Sickle Cell Disease with Dactylitis (Valid for October 1, 2023 discharges)• D57.04 Hb-SS disease with dactylitis• D57.214 Sickle-cell/Hb-C disease with dactylitis• D57.414 Sickle-cell thalassemia, unspecified, with dactylitis• D57.434 Sickle-cell...