The Coordination and Maintenance (C&M) Committee met last week on March 5 and 6 to discuss proposed code changes in ICD-10-CM/PCS. The agendas for the meetings are available on the CMS...Read More »
Q: I was reading the Q&A from CDI Strategies, , and I wanted to check whether I’m misinterpreting it. It seems that you are insinuating that vasopressors or...Read More »
by Denise Wilson, RN, MS, RRT, and Karla Hiravi, RN, BSN
Acute kidney injury (AKI) is a sudden and temporary loss of kidney function, while acute tubular necrosis (ATN) is kidney injury characterized by acute tubular cell injury and dysfunction. CDI professionals need to...Read More »
There are few things more frustrating than the “organ system” approach to medical record documentation. Unfortunately, coders cannot code “acute respiratory failure” if all the physician writes is “respiratory system, continue on...Read More »
Q:One of my CDI staff members recently asked me for resources to help differentiate between an acute PE/DVT and a chronic PE/DVT. She’s looking for anything that could help her explain the difference to a physician, but I’m...Read More »
“These were the two most educated trauma coding speakers I have heard, and I’ve been doing this for 13 years,” said one attendee of last year’s trauma CDI webinar of speakers Nicole Fox, MD, MPH, FACS, CPE, and Kristie Perry, RN, MHSA, CCDS, CCS.Read More »
Q: What is the difference between ICD-10-CM code I24.8 (other forms of acute ischemic heart disease) and code I21.A1 (myocardial infarction type 2)? In which situation would each of these codes be reported? Read More »
Q: I’m a bit confused by sepsis sequencing. Should it always be coded as the principal diagnosis, or are there instances where it wouldn’t be principal?
A: If sepsis is present on admission (POA), sepsis (the systemic illness) is coded first, followed by...Read More »
