Education and Tips
Learn useful information and tips used in the industry.
Release of a Coronary Artery With a myocardial bridge, part of a coronary artery dips into and underneath the heart muscle and then comes back out again. For the most part, a myocardial bridge is harmless. Patients with a myocardial bridge have it from birth, and most never know they have the condition. However, some… Read More »Coding Tip of the Month – July 2019
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Topic: Complex Pneumonia Scenario: 82 yr. old female admitted from her skilled nursing facility with complaints of chest pain, SOB and cough with yellow mucus. Hx of COPD, on continuous O2 at 2L with recent hospital discharge for exacerbation, CVA with dysphagia. Assessment, patient noted with wheezing, rhonchi with mild dyspnea. VS: temp 99.2, HR… Read More »Monthly CDI Discussion – Complex Pneumonia
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Cologuard® was approved by the FDA in August 2014 and is an easy to use, noninvasive colon cancer screening test that identifies altered DNA and/or blood in stool, which are associated with the possibility of colon cancer or precancer. DNA is continuously shed from cells in the intestinal lining and passed into the stool. Both… Read More »Coding Tip of the Month – June 2019
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Topic: Traumatic Rhabdomyolysis with Acute Kidney Injury due to Acute Tubular Necrosis Scenario: 50 year old female admitted after a motor vehicle accident where she was the restrained driver Patient with abdominal pain, nausea, tachycardia, muscle pain Patient sustained a fractured fibula/tibia of right leg Fractured ulna left arm Multiple contusions and abrasions Creatinine on… Read More »Monthly CDI Discussion – Rhabdomyolysis
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The Proposed Inpatient Prospective Payment System (IPPS) Rule was established on April 23, 2019. The ICD-10-CM code changes contained in the FY 2020 Proposed Rule Tables revealed 273 new codes, 21 deleted and 30 code title revisions. Just under 60% (162) of the new codes are proposed for chapters 19 Injury, poisoning and certain other… Read More »Coding Tip of the Month – May 2019
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Topic: Non-infectious SIRS with organ dysfunction Scenario: 65 year old male admitted with history of alcohol abuse and HTN Patient presents with abdominal pain and vomiting for 4 days Vital signs in ED: 160/90, HR 120, RR 24, T101.7F Labs: WBC 18.0, Lactic Acid 2.6 on admit, repeat in 24 hrs. 2.0, Blood Glucose 250… Read More »Monthly CDI Discussion – Non-infectious SIRS with Organ Dysfunction
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Infections Due to Vascular Catheters: The First Quarter 2019 Coding Clinic addressed several questions regarding infections due to vascular catheters. In summary the complication code should be assigned based on the location of the catheter tip rather than the function. ICD-10-CM classifies infections from a midline catheter (T82.7-) and a central venous catheter (T80.2) differently.… Read More »Coding Tip of the Month – April 2019
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Topic: Brain Compression Scenario: 80 y/o m presents with c/o left sided weakness, limping, recent slurring of speech, and lethargy. Recent rollover MVC while out of the country – No CT/MRI head completed at that time. CT head reads – Large R SDH with approx. 1.3 cm midline shift and subfalcine herniation and impending transtentorial… Read More »Monthly CDI Discussion – Brain Compression
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