Coding Tips

UASI At A Glance

Coding Tip of the Month – December 2017

By Staff / December 15, 2017

Adult and Child Exams   ICD-10-CM Guideline I.C.21.13) Routine and administrative examinations The Z codes allow for the description of encounters for routine examinations, such as, a general check-up, or, examinations for administrative purposes, such as, a pre-employment physical. The codes are not to be used if the examination is for diagnosis of a suspected…

Coding Tip of the Month – November 2017

By Staff / November 15, 2017

Total Hysterectomies Written by: Natalie Sartori, Corporate Trainer The October 1st updates included more than 3,500 new ICD-10-PCS codes. The intent and impact of many of the new codes was clearly apparent while others were less obvious. One example of this is the addition of qualifier “L Supracervical” applicable to the body part Uterus on table…

Coding Tip of the Month – October 2017

By Staff / October 15, 2017

New MI Codes: The ICD-10-CM updates for October 1st brought three new MI codes: Code Description CC/MCC I21.9 Acute myocardial infarction, unspecified MCC I21.A1 Myocardial infarction type 2 MCC I21.A9 Other myocardial infarction type MCC New guidelines have been published to provide guidance on how to apply the new MI codes and existing guidelines revised for…

Medical Coding

Coding Tip of the Month – September 2017

By Staff / September 15, 2017

The ICD-10-PCS code changes for 10/1/2017 contain over 3,500 new codes. These new codes focus on correcting deficiencies in providing specific options for various character values in a variety of procedures. Many of the new codes will invalidate and nullify previous Coding Clinic advice for specific code assignment when the exact character value was not…

Coding Tip of the Month – August 2017

By Staff / August 15, 2017

Scenario: A 64-year-old patient with new onset ascites presents for abdominal paracentesis. An ultrasound guided diagnostic and therapeutic paracentesis are both performed via a catheter. Is it appropriate to report two procedure codes for the diagnostic and therapeutic paracentesis? Answer: 0W9G3ZZ – Drainage of peritoneal cavity, percutaneous approach, for the diagnostic and therapeutic paracentesis Rationale:…

UASI Coding Tip of the Month

Coding Tip of the Month – July 2017

By Staff / July 26, 2017

Fasciotomy for Compartment Syndrome Scenario: Postoperative diagnosis: status post polytrauma left lower extremity status post motorcycle accident with elevated compartment pressure for the lateral as well as the medial compartments. Procedure: The compartment pressures of the patient’s four compartments were measured. For the anterior and lateral compartments the measurement was 32, for the posterior compartment…

Coding Tip of the Month – June 2017

By Staff / June 20, 2017

Ischemic Stroke Therapy with tPA Scenario: A patient is presented to the ER with weakness and expressive aphasia and CT head reveals an ischemic infarct of the left posterior cerebral artery. The patient was started on tPA and a repeat CT scan showed the left stroke with intracerebral hemorrhagic conversion in the left hemisphere. The…

UASI Coding Tip of the Month

Coding Tip of the Month – May 2017

By Staff / May 20, 2017

Scenario: A patient is admitted for a cholecystectomy and during the medical clearance the patient is diagnosed with “Stage A heart failure”. The patient has hypertension, DM, and a family history of cardiomyopathy. How is the heart failure coded? Answer: Assign code Z91.89 Other specified personal risk factors for Stage A heart failure. Assign additional…

UASI Coding Tip of the Month

Coding Tip of the Month – April 2017

By Staff / April 20, 2017

Impella® External Heart Assist Device The Impella® heart pump is a temporary ventricular support device designed to provide hemodynamic support to a patient with depressed heart function. The device is FDA approved for use in high-risk percutaneous coronary intervention and in instances where a patient is suffering from cardiogenic shock following a heart attack or…

UASI Coding Tip of the Month

Coding Tip of the Month – March 2017

By Staff / March 3, 2017

Scenario: An elderly primigravida mother is admitted at term and has a normal spontaneous vaginal delivery. What ICD-10-CM code(s) would be assigned to this visit? Answer: O80 Encounter for full-term uncomplicated delivery Rationale: ICD-10-CM Guideline I.C.15.b.2 Codes from category O09, Supervision of high-risk pregnancy, are itended for use only during prenatal period. For complications during…