Coding Tips

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…

UASI Coding Tip of the Month

Coding Tip of the Month – February 2017

By Staff / February 6, 2017

Hypertension, Diabetes and CKD 1. HTN & CKD Many of us have been perplexed and confused by recent Coding Clinic advice in regard to Hypertension and CKD. While we may not always agree with published advice the official coding guidelines and coding clinic guidance are the rules that we must follow when reporting ICD-10-CM/PCS codes….

UASI Coding Tip of the Month

Coding Tip of the Month – January 2017

By Staff / January 19, 2017

Scenario: A patient is admitted to University Hospital in cardiogenic shock due to an acute LAD blockage. The patient was taken to the cath lab where 2 lesions were found. One, in the proximal LAD, was stented with a single DES and in the distal lesion 2 kissing DES were deployed. Following the PTCA a…