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 Tip: COVID Guidelines
As of April 2025, documentation of a positive COVID-19 test alone no longer confirms a diagnosis of COVID-19. Provider documentation is REQUIRED. Note the verbiage that has been removed from the Official Guidelines for Coding and Reporting. Code only confirmed cases:...
CDI Tips: Functional Quadriplegia
Explore the causes, symptoms, and treatment options for Acute Tubular Necrosis, a severe disability caused by a condition that does not involve the spinal cord.Describes a complete inability to move due to severe disability caused by a condition that does not involve...
CDI Tips: Acute Tubular Necrosis (ATN)
Explore the causes, symptoms, and treatment options for Acute Tubular Necrosis, a critical condition affecting kidney function.Acute Tubular Necrosis (ATN) involves the death of tubular epithelial cells that form the renal tubules. The etiology is intrarenal,...
CDI Tips: HIV Disease/AIDS
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 ...
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...