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: New Codes for Anosognosia
New Codes for Anosognosia (Valid for October 1, 2024 discharges)R41.85 is the new code for Anosognosia in the ‘Other symptoms and signs involving cognitive functions and awareness’ category. What is Anosognosia? Anosognosia, also called lack of insight, is a...
Coding Tip: Breech Delivery with No Problems
A newborn is delivered via cesarean section due to breech presentation and the exam did not reveal any hip problems or issues. Ultrasound of the hip was to be performed post-discharge, at 6 weeks of age. Should breech presentation be coded for the newborn? Yes. Assign...
Coding Corner Tips: Obesity Guidelines Update
Obesity Guidelines Update Obesity class designation can only be coded based on PROVIDER documentation. The obesity class codes in subcategory E66.81, Obesity class, require a fifth character to convey the severity of obesity. The obesity class should be...
Coding Tips: COVID Guidelines Update
COVID Guidelines Update 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...
Coding Tips: New Codes, Branched Intraluminal Device
New Technology, Branched Intraluminal Device New Codes (Valid for October 1, 2024 discharges) The GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE) is a branched intraluminal device that is used for repair of thoracoabdominal aortic aneurysms (TAAA) and...
CDI Tips: Electrolyte Disorders
Electrolyte Disorders Electrolyte imbalances are defined as electrolyte levels that fall outside the normal reference ranges established by institutional laboratories. Management of these imbalances typically includes correction of the abnormal values, daily...